Healthcare Provider Details

I. General information

NPI: 1457418790
Provider Name (Legal Business Name): ROLLING HILLS HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 GALLATIN AVE
NASHVILLE TN
37206-3225
US

IV. Provider business mailing address

610 GALLATIN AVE
NASHVILLE TN
37206-3225
US

V. Phone/Fax

Practice location:
  • Phone: 615-226-4330
  • Fax: 615-650-2565
Mailing address:
  • Phone: 615-226-4330
  • Fax: 615-650-2565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number34
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number25558
License Number StateTN

VIII. Authorized Official

Name: MR. TOUBY WITZKY
Title or Position: CFO
Credential:
Phone: 615-650-2588