PB OUTPATIENT SERVICES TENNESSEE, LLC (NPI# 1114404530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114404530 |
| Entity Type | Organization |
| Organization Name | PB OUTPATIENT SERVICES TENNESSEE, LLC |
| Other Organization Name | THE RANCH |
| Practice Address |
6107 Pinewood Rd Nunnelly TN 37137-2523 |
| Mailing Address |
Po Box 207816 Dallas TX 75320-7816 |
| Practice Telephone | 9545877771 |
| Practice Fax Number | 9542522177 |
| Mailing Telephone | 8473294100 |
| Mailing Fax Number | 8473294900 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2019-07-17 |
| Authorized Official Name | MARINA FREEMAN (EDI/CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 6155677256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| The Ranch | Doing Business As Name - Organization |
| Street Address |
6107 PINEWOOD RD |
| City | NUNNELLY |
| State | TN |
| Zip Code | 37137-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962426890 | Michael John Baron | Psychiatry & Neurology | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2006-07-26 |
| 1679172043 | Eva C Copeland | Dietitian, Registered | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2020-10-18 |
| 1518582204 | Caroline Timanus | Nurse Practitioner | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2020-06-09 |
| 1831719442 | Compass Health Systems of Tennessee | Family Medicine | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2020-04-23 |
| 1295166304 | Rhonda Marnae Bartine | Nurse Practitioner | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2013-11-29 |
| 1427346147 | David A Sack Md Tn PC | Nurse Practitioner | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2011-07-15 |
| 1033409438 | Brian Edward Fuller | Psychiatry & Neurology | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2011-04-19 |
| 1477869212 | Rhonda K Rodriguez | Nurse Practitioner | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2010-08-30 |
| 1316174261 | The Ranch | Psychiatric Residential Treatment Facility | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2009-06-18 |
| 1184791634 | The Ranch On The Piney River, Inc. | Community/Behavioral Health | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2006-11-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083820278 | Kimberley Dawn Burchett | Counselor | 168 Three Springs Rd, Nunnelly, TN 37137-2670 | 2007-05-15 |
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720694193 | Detox West Tennessee LLC | Substance Abuse Rehabilitation Facility | 370 N Cumberland St, Jackson, TN 38301-5470 | 2020-09-21 |
| 1003445917 | Nashville Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 1037 Jefferson St, Nashville, TN 37208-2554 | 2020-04-02 |
| 1306476023 | Recovery Court of Sumner County, Inc. | Substance Abuse Rehabilitation Facility | 132 S Water Ave, Gallatin, TN 37066-2903 | 2020-01-22 |
| 1548890494 | Harmony Oaks Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 7609 Shallowford Rd, Chattanooga, TN 37421-2633 | 2020-01-20 |
| 1629618483 | Tennessee Recovery Clinic LLC | Substance Abuse Rehabilitation Facility | 131 Edenwold Rd, Madison, TN 37115-2428 | 2020-01-09 |
| 1598319063 | Spring 2 Life Ministries | Substance Abuse Rehabilitation Facility | 3196 Hill Creek Rd, Woodbury, TN 37190-6803 | 2019-08-01 |
| 1356994164 | Recovery Unplugged Nashville, LLC | Substance Abuse Rehabilitation Facility | 255 Wilson Pike Cir, Brentwood, TN 37027-5207 | 2019-07-21 |
| 1922590009 | Brentwood Springs Detox | Substance Abuse Rehabilitation Facility | 5935 Edmondson Pike, Nashville, TN 37211 | 2018-06-04 |
| 1801301452 | 4m Healthsystem Inc | Substance Abuse Rehabilitation Facility | 827 Virtue Rd, Knoxville, TN 37934-5344 | 2017-12-05 |
| 1477080976 | Journeypure Murfreesboro LLC | Substance Abuse Rehabilitation Facility | 1139 Nw Broad St Ste 102, Murfreesboro, TN 37129-2390 | 2017-05-15 |
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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.