Provider Demographics
NPI:1063791309
Name:SILVER CONTINENCE CARE - OH, LLC
Entity type:Organization
Organization Name:SILVER CONTINENCE CARE - OH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRAZER
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-244-5720
Mailing Address - Street 1:1001 HAWKINS ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-4758
Mailing Address - Country:US
Mailing Address - Phone:615-244-5720
Mailing Address - Fax:888-215-7042
Practice Address - Street 1:28550 WESTLAKE VILLAGE DR
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-7608
Practice Address - Country:US
Practice Address - Phone:615-244-5720
Practice Address - Fax:888-215-7042
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SILVERCARE SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty