Healthcare Provider Details

I. General information

NPI: 1700644416
Provider Name (Legal Business Name): PARIS OPERATING GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 HOSPITAL CIR
PARIS TN
38242-4550
US

IV. Provider business mailing address

239 HOSPITAL CIR
PARIS TN
38242-4550
US

V. Phone/Fax

Practice location:
  • Phone: 731-642-5700
  • Fax: 431-644-8999
Mailing address:
  • Phone: 731-642-5700
  • Fax: 431-644-8999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ANSHEL NIEDERMAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 929-900-2005