CUMBERLAND MOUNTAIN INDUSTRIES, INC. (NPI# 1235276213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235276213 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND MOUNTAIN INDUSTRIES, INC. |
| Practice Address |
1214 Cedar Fork Rd Tazewell TN 37879-5000 |
| Practice Telephone | 4236266757 |
| Practice Fax Number | 4236262358 |
| Mailing Telephone | 4236266757 |
| Mailing Fax Number | 4236262358 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2013-03-25 |
| Authorized Official Name | MR. STEVE MINTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4236266757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | L000000008714 | TN | Agencies |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | L000000008714 | TN | Residential Treatment Facilities |
| Street Address |
1214 CEDAR FORK RD |
| City | TAZEWELL |
| State | TN |
| Zip Code | 37879-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689174211 | Heather Hunley | Nurse Practitioner | 951 N. Broad St, Tazewell Express Care, Tazewell, TN 37879 | 2018-02-20 |
| 1225540495 | Amy Howe | Nurse Practitioner | 1582 N Broad St Ste 2, Tazewell, TN 37879 | 2017-10-28 |
| 1497063903 | Minton Family Dental Care | Dentist | 210 Cedar Fork Rd., Tazewell, TN 37879 | 2010-09-17 |
| 1528259470 | Foster Chiropractic, P.C. | Chiropractor | 2255 Hwy 25e, Suite 2, Tazwell, TN 37879 | 2007-08-06 |
| 1811075088 | Rondal Keith Brock | Physician Assistant | Tazewell Medical Clinic 1442 North Broad Street, Suite 7, Tazewell, TN 37879 | 2006-11-02 |
| 1922185644 | Tri State Sports Medicine and Rehabilitation Inc | Physical Therapist | 2255 Highway 25e Ste 4, Tazewell, TN 37879 | 2006-11-01 |
| 1407932387 | La Wanna Wallen Brock | Nurse Practitioner | 1442 North Broad Street, Suite 7, Tazewell, TN 37879 | 2006-10-31 |
| 1952493462 | Home Town Pharmacy Inc. | Pharmacy | 1410 N. Broadstreet, Tazewell, TN 37879 | 2006-09-29 |
| 1700892429 | Trail of The Cumberlands Anesthesia Associates | Nurse Anesthetist, Certified Registered | 1850 Old Knoxville Hwy, Claiborne County Hospital, Tazewell, TN 37879 | 2006-08-01 |
| 1598718587 | Rosemary Kay Hall | Chiropractor | 1450 Broad St, Suite 1, Tazewell, TN 37879 | 2006-05-18 |
| Find all providers in zip 37879 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332148 | Talley Boarding Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2741 Smith Springs Rd, Nashville, TN 37217 | 2020-09-24 |
| 1821613571 | Jasmine E Jackson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3165 Overton Crossing St, Memphis, TN 38127-6522 | 2020-06-09 |
| 1780208116 | Indya Daniels | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 262 Carriage House Dr, Jackson, TN 38305-2228 | 2020-06-01 |
| 1841830387 | Charis | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8820 Trinity Rd Ste 101, Cordova, TN 38018-2735 | 2020-01-13 |
| 1447891171 | Hamelmal S Admassie | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 880 Pin Oak Dr, Antioch, TN 37013-1532 | 2019-10-03 |
| 1285294306 | Kiarad Enterprises Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3994 Edenburg Dr, Memphis, TN 38127-4112 | 2019-06-20 |
| 1467910992 | Milestone Home Healthcare Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1037 Jefferson St Ste G, Nashville, TN 37208-2554 | 2019-03-04 |
| 1255897831 | Salim Homes Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2714 Deerfield Dr, Nashville, TN 37208-1225 | 2019-02-19 |
| 1407324411 | Abundant Care Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2805 Foster Ave Ste 206, Nashville, TN 37210-5341 | 2018-11-07 |
| 1558837104 | Vicki Mckissick | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2131 Murfreesboro Pike Ste 210, Nashville, TN 37217-6306 | 2018-10-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CUMBERLAND MOUNTAIN INDUSTRIES, INC..
| 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.