THE RANCH ON THE PINEY RIVER, INC. (NPI# 1184791634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184791634 |
Entity Type | Organization |
Organization Name | THE RANCH ON THE PINEY RIVER, INC. |
Other Organization Name | THE RANCH |
Practice Address |
6107 Pinewood Rd Nunnelly TN 37137-2523 |
Practice Telephone | 9317299631 |
Practice Fax Number | 9317299632 |
Mailing Telephone | 9317299631 |
Mailing Fax Number | 9317299632 |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. MILES ADCOX (CEO) |
Authorized Official Telephone | 9317299631 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 12140369355 | TN | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | MH OUPTATIENT FACILITY | 12140369355 | 01 |
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 |
1114404530 | Pb Outpatient Services Tennessee, LLC | Psychiatric Residential Treatment Facility | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2018-07-27 |
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 |
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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 | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
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1790337699 | Clean, Inc. | Community/Behavioral Health | 3146 Write Pl Apt 4, Memphis, TN 38128-4535 | 2019-07-10 |
1861050882 | Divine Trinity Outreach Center | Community/Behavioral Health | 4670 Mary Angela Rd, Memphis, TN 38109-4802 | 2019-06-04 |
1740749175 | Sunflower Counseling Service Pllc | Community/Behavioral Health | 6628 Elmore Woods Cv, Memphis, TN 38134-4745 | 2019-03-15 |
1285190181 | Jenny Sue Collins-king | Community/Behavioral Health | 300 W 1st North St, Morristown, TN 37814-4605 | 2019-02-15 |
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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.