TAKOMA REGIONAL HOSPITAL, INC (NPI# 1265561450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265561450 |
| Entity Type | Organization |
| Organization Name | TAKOMA REGIONAL HOSPITAL, INC |
| Other Organization Name | GREENEVILLE COMMUNITY HOSPITAL PSYCHIATRIC |
| Practice Address |
401 Takoma Ave Greeneville TN 37743-4647 |
| Mailing Address |
311 Princeton Rd Suite 1 Johnson City TN 37601-2026 |
| Practice Telephone | 4236393151 |
| Practice Fax Number | 4236362399 |
| Mailing Telephone | 4236393151 |
| Mailing Fax Number | 4236392399 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | MARY LYNN KRUTAK (EVP/CFO) |
| Authorized Official Telephone | 4233023423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 54 | TN | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | JOHN DEERE | A3774301 | 01 |
| TN | AMERICHOICE | A3774401 | 01 |
| TN | 4400050 | 05 | |
| TN | PREFERRED HEALTH | 100020449 | 01 |
| TN | BLUE CROSS | 1000393 | 01 |
| Other Name | Type Code |
|---|---|
| GREENEVILLE COMMUNITY HOSPITAL PSYCHIATRIC | Doing Business As Name - Organization |
| Street Address |
401 TAKOMA AVE |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37743-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345342 | Brooks Morelock | Internal Medicine | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2005-06-08 |
| 1578094207 | Brad E. Moore | Registered Nurse | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2017-03-24 |
| 1154782019 | Takoma Regional Hospital | General Acute Care Hospital | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2016-03-18 |
| 1760852610 | Joan Marie Scott, Mmsc, Rd, Ldn, Cde | Dietitian, Registered | 401 Takoma Ave, Takoma Regional Hospital, Greeneville, TN 37743-4647 | 2015-10-05 |
| 1487022745 | Spencer C. Maden | Registered Nurse | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2015-09-03 |
| 1770950479 | Sarah Chesnut | Nurse Practitioner | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2015-08-28 |
| 1073996948 | Alexandra M Bowling | Family Medicine | 401 Takoma Ave, Greeneville, TN 37743 | 2015-07-09 |
| 1255753810 | Terri Ratcliff | Nurse Practitioner | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2014-01-15 |
| 1740585223 | Greeneville Emergency Physicians Medical Group PC | Emergency Medicine | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2011-01-14 |
| 1235450248 | Isioma Aninyei | Internal Medicine | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2010-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1205264058 | Robert Maddox | Social Worker | 421 5th Ave North, Employee Health Clinic, 2nd Floor Central Services Bldg, Nashville, TN 37743 | 2013-10-14 |
| 1336574326 | Cathy J Davis | Occupational Therapy Assistant | 910 West Summer Street, Greeneville, TN 37743 | 2013-09-09 |
| 1659614238 | Person Centered Choices, LLC | In Home Supportive Care | 615 W. Main St., Ste. 204, Greeneville, TN 37743 | 2013-04-01 |
| 1730449943 | Jenilee Stepp | Behavioral Analyst | 1007 West Main Suite B, Greenville, TN 37743 | 2012-05-22 |
| 1083971303 | Jessica Allison Mcafee | Registered Nurse | 401 Takoma Ave., Suite 1, Second Floor, Greeneville, TN 37743 | 2012-04-12 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1215200118 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2495 Buckingham Road, Greeneville, TN 37743 | 2012-02-23 |
| Find all providers in zip 37743 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811915838 | Takoma Hospital & Sanitarium Training School, Inc. | Psychiatric Unit | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376719419 | Hca Health Services of Tennessee, Inc. | Psychiatric Unit | 391 Wallace Road, Nashville, TN 37211-4851 | 2008-05-07 |
| 1831223635 | Lincoln Medical Center | Psychiatric Unit | 1681 Winchester Hwy, Fayetteville, TN 37334-2758 | 2007-03-15 |
| 1558499483 | Perry Community Hospital, LLC | Psychiatric Unit | 2718 Squirrel Hollow Dr, Linden, TN 37096-3526 | 2007-03-01 |
| 1760405849 | Wellmont Health System | Psychiatric Unit | 1905 American Way, Kingsport, TN 37660-5882 | 2006-07-26 |
| 1821030842 | Vanderbilt University Medical Center | Psychiatric Unit | 500 Park Avenue, Lebanon, TN 37087-3721 | 2006-06-12 |
| 1558319863 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 | 2006-05-05 |
| 1295792125 | Baptist Memorial Hospital- Lauderdale | Psychiatric Unit | 326 Asbury Ave, Ripley, TN 38063-5577 | 2006-04-26 |
| 1306818265 | State of Tennessee F&a Payroll | Psychiatric Unit | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2006-02-06 |
| 1548241953 | Campbell County Hma, LLC | Psychiatric Unit | 923 E Central Ave, La Follette, TN 37766-2768 | 2005-11-11 |
| 1346854577 | Methodist Healthcare East Hospital | Psychiatric Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | GREENEVILLE |
| Zip Code | 37743 |
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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.