# ALEXIAN VILLAGE OF TENNESSEE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ASCENSION LIVING ALEXIAN VILLAGE TENNESSEE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730164583
- **Authorized official:** ERIN SHADBOLT (CEO)
- **Authorized official phone:** (314) 729-3500

## Contact information

- **Practice address:** 437 ALEXIAN WAY, SIGNAL MOUNTAIN, TN 37377-1954
- **Practice address phone:** (423) 886-0100
- **Mailing address:** 437 ALEXIAN WAY, SIGNAL MOUNTAIN, TN 37377-1954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 102 | TN | — |
| 314000000X | Skilled Nursing Facility | 102 | TN | Yes |

## Other

- **Enumeration date:** 12/14/2005
- **Last updated:** 06/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445123 | — | TN |
| 05 | — | 7440001 | — | TN |