Healthcare Provider Details

I. General information

NPI: 1740512490
Provider Name (Legal Business Name): GREEN HILLS SENIOR HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2010
Last Update Date: 10/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 WOODMONT BLVD
NASHVILLE TN
37215-1531
US

IV. Provider business mailing address

2001 WOODMONT BLVD
NASHVILLE TN
37215-1531
US

V. Phone/Fax

Practice location:
  • Phone: 615-425-4900
  • Fax: 615-425-4922
Mailing address:
  • Phone: 615-425-4900
  • Fax: 615-425-4922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL C MILLER
Title or Position: PRESIDENT
Credential:
Phone: 615-425-4903