136 Davis Lane Opco, LLC
Skilled Nursing Facility in La Follette, Tennessee
1548116866- Practice location
- 136 Davis Ln, La Follette, TN 37766-3118
- Phone
- 323-928-9445
- Fax
- —
- Last updated
- October 21, 2026
136 Davis Lane Opco, LLC is a healthcare organization based in La Follette, TN. 136 Davis Lane Opco, LLC practices in La Follette, TN. The NPI Number for 136 Davis Lane Opco, LLC is 1548116866. The current practice location address for 136 Davis Lane Opco, LLC is 136 Davis Ln, La Follette, TN 37766-3118 and can be reached out via phone at 323-928-9445.
Provider Profile Details
- NPI Number
- 1548116866
- Provider Name
- 136 Davis Lane Opco, LLC
- Provider Entity Type
- Organization
- Address
- 136 Davis Ln, La Follette, TN 37766-3118
- Phone Number
- 323-928-9445
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Avrohom Tress · Executive Vice President · 323-928-9445
- Other Names
- Cumberland Village Post Acute (Doing Business As)
- Provider Enumeration Date
- March 9, 2026
- Last Update Date
- October 21, 2026
- Certification Date
- October 21, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 136 Davis Ln
La Follette, TN 37766-3118 - City
- La Follette
- State
- Tennessee
- Zip
- 37766-3118
- Phone Number
- 323-928-9445
Provider Business Mailing Address Details
- Address
- 9526 W Pico Blvd
Los Angeles, CA 90035-1202 - City
- Los Angeles
- State
- CA
- Zip
- 90035-1202
License Information
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Skilled Nursing Facility providers near La Follette, TN
View all Skilled Nursing Facility providers in La Follette →Frequently Asked Questions
What is the NPI number of 136 Davis Lane Opco, LLC?
The NPI number of 136 Davis Lane Opco, LLC is 1548116866. It was assigned on March 9, 2026 and is currently active in the NPPES registry.
What is the specialty of 136 Davis Lane Opco, LLC?
136 Davis Lane Opco, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 136 Davis Lane Opco, LLC practice?
The practice location is 136 Davis Ln, La Follette, TN 37766-3118. The office can be reached at 323-928-9445 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548116866 directly on the NPPES registry website.