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THE NEIGHBORHOOD AT TELLICO VILLAGE
NPI 1104565381
Assisted Living Facility in Loudon, TN

Active since June 03, 2022CLIA 44D2106829 · Waiver
100 CHATUGA DR W, LOUDON, TN 37774(865) 408-0211(865) 408-1288 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Neighborhood At Tellico Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE NEIGHBORHOOD AT TELLICO VILLAGE (NPI 1104565381) is a healthcare organization registered as an assisted living facility in Loudon, Tennessee and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through December 28, 2027 and lists Richard W. Siedel, C.f.o. & Treasurer, as its authorized official.

NPPES Registry Identity

NPI1104565381
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSNH TELLICO TENANT LLC
Location Address100 CHATUGA DR WLoudon, TN 37774-2786
Mailing Address100 Chatuga Dr WLoudon, TN 37774-2786 · (865) 408-0211 · Fax (865) 408-1288
Phone(865) 408-0211
Fax(865) 408-1288
Organization SubpartNo
Authorized OfficialRichard W. SiedelC.f.o. & Treasurer · (617) 796-8350
Enumeration DateJune 3, 2022
NPPES CertifiedJune 3, 2022
✔ NPI 1104565381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
100 CHATUGA DR W, Loudon, TN 37774
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Other Names 1

Doing Business AsThe Neighborhood At Tellico Village

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2106829

Tellico Village Loudon Slc Tenant LLC Dba The Neighborhood At Tellico Village · Loudon, TN
Active · expires Dec 28, 2027
CLIA Number44D2106829
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorAngela Smith
Laboratory Phone(865) 408-0211
Laboratory LocationTellico Village Loudon Slc Tenant LLC Dba The Neighborhood At Tellico Village100 Chatuga Dr West, Loudon, TN 37774
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Snh Tellico Tenant LLC's NPI number?

The NPI number for Snh Tellico Tenant LLC is 1104565381. It was assigned to this organization in the NPPES registry on June 3, 2022. The provider is doing business as The Neighborhood At Tellico Village.

Where is Snh Tellico Tenant LLC located?

Snh Tellico Tenant LLC is located at 100 Chatuga Dr W, Loudon, TN 37774. The listed phone number is (865) 408-0211.

What is Snh Tellico Tenant LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Snh Tellico Tenant LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2106829) is associated with this NPI, valid through December 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Snh Tellico Tenant LLC was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.