Provider Demographics
NPI:1376985911
Name:BRENDLEY, INC.
Entity Type:Organization
Organization Name:BRENDLEY, INC.
Other - Org Name:THE FLATS OF NORRIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-755-3850
Mailing Address - Street 1:PO BOX 261
Mailing Address - Street 2:
Mailing Address - City:NORRIS
Mailing Address - State:TN
Mailing Address - Zip Code:37828-0261
Mailing Address - Country:US
Mailing Address - Phone:865-494-1052
Mailing Address - Fax:865-376-4923
Practice Address - Street 1:13 RIDGEWAY RD
Practice Address - Street 2:
Practice Address - City:NORRIS
Practice Address - State:TN
Practice Address - Zip Code:37828
Practice Address - Country:US
Practice Address - Phone:865-494-1052
Practice Address - Fax:865-376-4923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN592310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH445764Medicaid