Organization
ALEXIAN VILLAGE OF TENNESSEE
Active
Other names
ASCENSION LIVING ALEXIAN VILLAGE TENNESSEE
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN SHADBOLT (CEO)
(314) 729-3500
Entity
Organization
Contact information
Practice address
437 ALEXIAN WAY, SIGNAL MOUNTAIN, TN 37377-1954
(423) 886-0100
Mailing address
437 ALEXIAN WAY, SIGNAL MOUNTAIN, TN 37377-1954
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
102
TN
314000000X
Skilled Nursing Facility
Primary
102
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445123
—
TN
05
—
7440001
—
TN
Enumeration date
12/14/2005
Last updated
06/23/2025
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