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Contact Information

BOULEVARD TERRACE, LLC
1530 MIDDLE TENNESSEE BLVD
MURFREESBORO, TN37130
 Phone: 615-896-4505
 Fax: 615-895-8544
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for BOULEVARD TERRACE, LLC

NPI # 1871574129
LBN Legal business name BOULEVARD TERRACE, LLC
Authorized official WILLIAM ORAND - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/11/2005
Last updated 05/24/2018 - About 8 years ago
Identifiers
TN License # 0000000217
TN Medicaid 7440016
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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