MEDICARE: GRASSLAND FAMILY CARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385H00000X	Respite Care

General Provider Information

NPI Number	:	1427277540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRASSLAND FAMILY CARE CENTER

Provider Business Mailing Address
First Line	:	2339 HILLSBORO RD
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37069-6225
Country	:	US
Telephone Number	:	615-791-9300
Fax Number	:	615-791-8763

Provider Business Practice Location Address
First Line	:	2339 HILLSBORO RD
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37069-6225
Country	:	US
Telephone Number	:	615-791-9300
Fax Number	:	615-791-8763

Authorized Official
Title or Position	:	PREDISENT PHYSICIAN
Name	:	MR. SAMUEL R BASTIAN
Credential	:	MD
Telephone Number	:	615-791-9300

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	08/22/2020

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Directions to “GRASSLAND FAMILY CARE CENTER ” Practice Location

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