Provider Demographics
NPI:1457884462
Name:NU-SOUTH, LLC
Entity Type:Organization
Organization Name:NU-SOUTH, LLC
Other - Org Name:PROSPERITY POINTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NOI
Authorized Official - Middle Name:
Authorized Official - Last Name:NUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-240-0000
Mailing Address - Street 1:9955 CORAL SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3469
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:214 PROSPERITY RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4702
Practice Address - Country:US
Practice Address - Phone:865-240-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNACL0000000431310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility