BENTON COUNTY DEVELOPMENTAL SERVICES, INC. (NPI# 1164550190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164550190 |
| Entity Type | Organization |
| Organization Name | BENTON COUNTY DEVELOPMENTAL SERVICES, INC. |
| Other Organization Name | CORNERSTONE |
| Practice Address |
198 Cane St Camden TN 38320-1382 |
| Mailing Address |
198 Cane St P.o. Box 420 Camden TN 38320-1382 |
| Practice Telephone | 7315842002 |
| Practice Fax Number | 7315848645 |
| Mailing Telephone | 7315842002 |
| Mailing Fax Number | 7315848645 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TAMARA D. FLETCHER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7315842002 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | L3(20)4M3-106-63 | TN | Agencies |
| Other Name | Type Code |
|---|---|
| Cornerstone | Doing Business As Name - Organization |
| Street Address |
198 CANE ST |
| City | CAMDEN |
| State | TN |
| Zip Code | 38320-1382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525395 | Mickie Carter | Physician Assistant | 284 Hwy 641 N, Camden, TN 38320 | 2011-01-19 |
| 1447574249 | Virginia Margarita Peebles | Nurse Practitioner | 176 Briarwood Ave, Suite B, Camden, TN 38320 | 2010-03-23 |
| 1194857417 | Tron D Baker | Case Manager/Care Coordinator | 495 Liberty Rod, Camden, TN 38320 | 2007-03-12 |
| 1801968854 | Michael Eugene Bogard | Physical Therapist | 77 East Lake St, Camden, TN 38320 | 2006-11-14 |
| 1134217029 | Agustin V Vitualla | General Practice | 135 Hospital Dr, Camden, TN 38320 | 2006-10-10 |
| 1629000567 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 195 North 641, Camden, TN 38320 | 2006-07-07 |
| 1215995287 | Quality Home Health Care, Inc. | Home Health | 279 W Main St, Camden, TN 38320 | 2006-05-01 |
| 1285612564 | Camden Medical Clinic, Inc | Clinic/Center | 160 Hospital Dr., Camden, TN 38320 | 2006-01-06 |
| 1073513636 | William Hall Mcconnell | Optometrist | 194 W. Main St., Camden, TN 38320 | 2005-07-26 |
| 1790077139 | Ccc Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 115 Vicksburg Ave, Camden, TN 38320 | 2011-05-04 |
| Find all providers in zip 38320 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867181 | We See Too Living Life Without Limits Inc. | Day Training, Developmentally Disabled Services | Virtua Health Camden, 1000 Atlantic Avenue, Camden, NJ 08104-1132 | 2020-06-27 |
| 1962407759 | Ouachita Industries, Inc | Day Training, Developmentally Disabled Services | 157 Grinstead St Se, Camden, AR 71701-4309 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593082 | Simplylove Care Inc | Day Training, Developmentally Disabled Services | 8920 Macauley Ln, Nolensville, TN 37135-4013 | 2020-09-21 |
| 1588282628 | Emma Wedley | Day Training, Developmentally Disabled Services | 2855 Stage Village Cv Ste 8, Bartlett, TN 38134-4616 | 2020-07-06 |
| 1376008011 | Excel Centers of America, LLC | Day Training, Developmentally Disabled Services | 2855 Stage Village Cv Ste 7, Bartlett, TN 38134-4616 | 2019-02-06 |
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1134617350 | Golden Moments Home Care, LLC | Day Training, Developmentally Disabled Services | 201 Airways Blvd, Jackson, TN 38301-5800 | 2018-04-24 |
| 1316449366 | Don A Hunt-ford Jr. | Day Training, Developmentally Disabled Services | 2016 Angel Way, Forney, TN 75126 | 2018-03-06 |
| 1013462050 | C.s. Patterson Training & Habilitation Center, Inc. | Day Training, Developmentally Disabled Services | 1284 Us Highway 45 Byp N, Trenton, TN 38382-4005 | 2016-08-19 |
| 1104287861 | Adult Community Training Inc. | Day Training, Developmentally Disabled Services | 5410 Highway 321 N, Lenoir City, TN 37771-7540 | 2016-03-09 |
| 1851762819 | Lydia Hodge | Day Training, Developmentally Disabled Services | 5705 Stage Rd Ste 200, Bartlett, TN 38134-4511 | 2015-10-15 |
| 1154714335 | Triumph Care, LLC | Day Training, Developmentally Disabled Services | 1161 Murfreesboro Pike Ste 132, Nashville, TN 37217-2225 | 2015-03-11 |
| Find all providers with the same taxonomy | ||||
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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.