Victorian Square, Llc in Rockwood - Assisted Living, Mental Illness
Victorian Square, Llc - NPI 1710180955
Victorian Square, Llc is a Assisted Living, Mental Illness in Rockwood, Tennessee. Victorian Square, Llc practices all healthcare services and medical treatments related to Assisted Living, Mental Illness. The NPI Number for Victorian Square, Llc is 1710180955. The last update date is 2013-01-24.
Victorian Square, Llc's current location address is 241 S Chamberlain Ave, Rockwood, Tennessee. You can contact this provider via phone number 8653541133 and fax number 8653546371. The mailing address for Victorian Square, Llc is 241 S Chamberlain Ave, Rockwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Victorian Square, Llc |
|---|---|
| Address | 241 S Chamberlain Ave, Rockwood, Tennessee |
| Phone Number | 8653541133 |
| Fax Number | 8653546371 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Bellande H Ralph |
| Telephone Number | 5022288131 |
NPI Number Detail
| NPI Number | 1710180955 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2013-01-24 |
Provider Mailing Address Detail
| Address | 241 S Chamberlain Ave |
|---|---|
| City | Rockwood |
| State | Tennessee (TN) |
| Post Code | 378546542 |
| Phone Number | 8653541133 |
| Fax Number | 8653546371 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Mental Illness |
|---|---|
| Taxonomy | 3104A0625X |
| Licence No | ACL000000014 |
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Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff w |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4262690 | TN | TENNCARE/MEDICAID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Victorian Square, Llc by the Centers for Medicare & Medicaid Services?
The Victorian Square, Llc has been issued the NPI (National Provider Identifier) 1710180955, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Victorian Square, Llc is physically located?
The Victorian Square, Llc is physically situated at the following address: 241 S Chamberlain Ave, Rockwood, TN, 378546542.
What is Victorian Square, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Victorian Square, Llc is Assisted Living, Mental Illness, and the taxonomy code that classifies this field of practice is 3104A0625X.
On what date was the 1710180955 assigned to Victorian Square, Llc?
The Victorian Square, Llc was issued its 1710180955 on 2007-06-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Victorian Square, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Victorian Square, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-01-24.