CRC HEALTH TENNESSEE, INC. (NPI# 1215230693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215230693 |
| Entity Type | Organization |
| Organization Name | CRC HEALTH TENNESSEE, INC. |
| Other Organization Name | NEW LIFE RECOVERY SERVICES |
| Practice Address |
102 N Cedar Ave Cookeville TN 38501-2417 |
| Mailing Address |
999 Girl Scout Rd Burns TN 37029-9065 |
| Practice Telephone | 9315204270 |
| Mailing Telephone | 8003653899 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |
| Authorized Official Name | REBECCA GASKIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8003653899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
I000000007134 | TN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| New Life Recovery Services | Other Name - Individual/Organization |
| Street Address |
102 N CEDAR AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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| 1992256267 | Nulife Physical Therapy, Inc | Clinic/Center | 5426 Highway 31 E, Ste B, Westmoreland, TN 37186-2115 | 2016-10-20 |
| 1346606787 | Yapa Dba Project Transition | Clinic/Center | 3055 Lebanon Pike, Suite 2102, Nashville, TN 37214-2230 | 2016-01-14 |
| 1013302777 | Nulife Physical Therapy Inc | Clinic/Center | 705 S Broadway St # B, Portland, TN 37148-1628 | 2015-03-31 |
| 1831379486 | Simba Rehab, LLC | Clinic/Center | 1149 Travers Ln, Cordova, TN 38018-8835 | 2007-11-13 |
| 1134341506 | Therapeutic Solutions, LLC | Clinic/Center | 2907 Decatur Hwy, Kingston, TN 37763-6388 | 2007-05-03 |
| 1770708257 | Baptist Memorial Hospital | Clinic/Center | 50 Humphreys Ctr Ste 23, Memphis, TN 38120-2369 | 2007-04-17 |
| 1659485936 | Grace Rehabilitation Center, Inc. | Clinic/Center | 2435 Jacksboro Pike, La Follette, TN 37766-2910 | 2006-08-17 |
| 1932196417 | East Memphis Therapy Center | Clinic/Center | 2715 Kirby Rd, Suite 15, Memphis, TN 38119-8238 | 2005-09-30 |
| 1639166127 | Bartlett Therapy Center | Clinic/Center | 5142 Stage Rd, Suite 101, Memphis, TN 38134-3164 | 2005-09-30 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.