# IMPERIAL MANOR CONVALESCENT CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VANGUARD HEALTHCARE, LLC
- **Other names:** Imperial Gardens Health and Rehabilitation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750360152
- **Legal business name:** VANGUARD HEALTHCARE, LLC
- **Authorized official:** MR. KIRK F HEBERT (SECRETARY)
- **Authorized official phone:** (615) 250-7100

## Contact information

- **Practice address:** 306 W DUE WEST AVE, MADISON, TN 37115-4511
- **Practice address phone:** (615) 865-5001
- **Practice address fax:** (615) 865-0321
- **Mailing address:** 6 CADILLAC DR, SUITE 310, BRENTWOOD, TN 37027-5080
- **Mailing address phone:** (615) 250-7100
- **Mailing address fax:** (615) 250-7102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0000000053 | TN | Yes |

## Other

- **Enumeration date:** 01/13/2006
- **Last updated:** 11/04/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445047 | — | TN |
| 05 | — | 7440514 | — | TN |