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General NPI Number Information
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NPI Number | 1013281161
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Entity Type | Organization
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Legal Business Name | UPLANDS VILLAGE
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 878-880 WEST MAIN STREET
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City | PLEASANT HILL
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State | TN
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Zip | 38578
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Country | US
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Telephone | 931-277-3511
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Fax | 931-277-5519
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Provider Business Mailing Address
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Address Line | PO BOX 168
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City | PLEASANT HILL
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State | TN
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Zip | 38578-0168
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Country | US
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Telephone | 931-277-3518
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Fax | 931-277-5396
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Authorized Official
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Title or Position | CFO
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Name | MRS. CYNTHIA SMITH
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Credential |
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Telephone | 931-277-1194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | ACL0000000068
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 0000000028
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0000000028
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License Number State | TN
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