TENNESSEE CHILDREN'S HOME (NPI# 1043663495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043663495 |
Entity Type | Organization |
Organization Name | TENNESSEE CHILDREN'S HOME |
Other Organization Name | TENNESSEE CHILDREN'S HOME EAST CAMPUS |
Practice Address |
8550 Harold Duncan Way Knoxville TN 37931 |
Practice Telephone | 8655840841 |
Practice Fax Number | 8654152191 |
Mailing Telephone | 8655840841 |
Mailing Fax Number | 8654152191 |
Enumeration Date | 2016-07-21 |
Last Update Date | 2016-07-21 |
Authorized Official Name | MR. JOHN C. THOMPSON (TREATMENT DIRECTOR) |
Authorized Official Telephone | 8655840841 |
Authorized Official Credential | LPC, NCC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Tennessee Children's Home East Campus | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073820130 | Tennessee Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 804 Branham Hughes Circle, Springhill, TN 37174-2623 | 2010-09-09 |
Street Address |
8550 HAROLD DUNCAN WAY |
City | KNOXVILLE |
State | TN |
Zip Code | 37931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396223608 | Kristen Nicole Waggoner | Audiologist | 8109 Beaver Ridge Road, Karns Annex Building A, Knoxville, TN 37931 | 2018-07-31 |
1346780350 | Joseph L. Easley | Physical Therapist | 7811 Oak Ridge Hwy., Suite 3, Knoxville, TN 37931 | 2017-02-24 |
1780936708 | Appliance Place LLC | Durable Medical Equipment & Medical Supplies | 9025 Oak Ridge Hwy, Knoxville, TN 37931 | 2012-10-15 |
1003146440 | David Friend, Lcsw | Social Worker | 9631 W Emory Rd., Knoxville, TN 37931 | 2010-01-07 |
1235293895 | Eileen K Norton | Psychologist | 9501 Hickory Knoll Ln, Knoxville, TN 37931 | 2006-12-20 |
1104900612 | Total Health | Pharmacist | 7259 Oak Ridge Highway, Knoxville, TN 37931 | 2006-10-24 |
1346251584 | Alan Shane Presson | Optometrist | 7660 Oak Ridge Hwy, Knoxville, TN 37931 | 2006-08-11 |
1962740043 | Lauren Essary | Pharmacist | 7466 Oak Ridge Hwy, Knoxville, TN 37931 | 2013-01-23 |
1649443409 | Presson Eye Care, Pllc | Optometrist | 7660 Oak Ridge Hwy, Knoxville, TN 37931 | 2008-04-11 |
1629274345 | Laura P Doty | Nurse Practitioner | 9200 Middlebrook Pike, Knoxville, TN 37931 | 2007-06-21 |
Find all providers in zip 37931 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
1447536875 | Children's Bureau Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 868 N Manassas St, Memphis, TN 38107-2516 | 2011-10-31 |
1588973309 | Lamont Ingram Developmental Organization | Residential Treatment Facility, Emotionally Disturbed Children | 437 Riverside Dr, Jackson, TN 38301-5720 | 2010-09-28 |
1073820130 | Tennessee Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 804 Branham Hughes Circle, Springhill, TN 37174-2623 | 2010-09-09 |
1629307046 | Arthur Lee Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 5425 Meadowick Ave, Memphis, TN 38115-3643 | 2009-12-14 |
1861687899 | The Agency for Youth and Family Development | Residential Treatment Facility, Emotionally Disturbed Children | 1071 Mullins Station Rd, Memphis, TN 38134-7723 | 2007-09-12 |
1427132786 | Parkwest Medical Center | Residential Treatment Facility, Emotionally Disturbed Children | 2341 Jones Bend Rd, Louisville, TN 37777 | 2006-10-24 |
1164417465 | Cassandra Woodruff Youth Center | Residential Treatment Facility, Emotionally Disturbed Children | 605 Hemphill Cir, Chattanooga, TN 37411-2912 | 2005-09-13 |
1558916213 | Youth Villages, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 7410 Memphis Arlington Rd, Memphis, TN 38135-1908 | 2019-08-08 |
1922651348 | Youth Villages, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2890 Bekemeyer Dr, Arlington, TN 38002-9522 | 2019-07-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.