STATE OF TN (NPI# 1326334905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326334905 |
| Entity Type | Organization |
| Organization Name | STATE OF TN |
| Other Organization Name | DIDD EAST TN HOMES |
| Practice Address |
3960 Chuckey Pike Chuckey TN 37641-6202 |
| Mailing Address |
190 Serral Dr Greeneville TN 37745-3074 |
| Practice Telephone | 4237876757 |
| Practice Fax Number | 4237986253 |
| Mailing Telephone | 4237876757 |
| Mailing Fax Number | 4237986253 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |
| Authorized Official Name | MRS. MARGI E STORY (EAST TN HOMES DIRECTOR) |
| Authorized Official Telephone | 4237876757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 7447147 | 05 |
| Other Name | Type Code |
|---|---|
| DIDD EAST TN HOMES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881980464 | State of Tn | Intermediate Care Facility, Mentally Retarded | 590 Stone Dam Rd, Chuckey, TN 37641-4905 | 2011-06-22 |
| 1982999769 | State of Tn | Intermediate Care Facility, Mentally Retarded | 744 Stone Dam Rd, Chuckey, TN 37641-4907 | 2011-06-09 |
| 1982999777 | State of Tn | Intermediate Care Facility, Mentally Retarded | 143 Delzie Randolph Rd, Chuckey, TN 37641-6247 | 2011-06-09 |
| Street Address |
3960 CHUCKEY PIKE |
| City | CHUCKEY |
| State | TN |
| Zip Code | 37641-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427582907 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 3997 Chuckey Rd, Chuckey, TN 37641 | 2017-04-12 |
| 1205106150 | Angela A. Phillips | Nurse Practitioner | 8055 Snapps Ferry Road, Chuckey, TN 37641 | 2012-01-10 |
| 1124080221 | Kdm Inc | Nursing Facility/Intermediate Care Facility | 55 Nursing Home Rd, Chuckey, TN 37641 | 2006-04-04 |
| 1033192653 | Teresa M Kimery | Registered Nurse | 509 Barren Valley Rd., Chuckey, TN 37641 | 2005-11-29 |
| 1477186443 | Natasha Blakley | Specialist/Technologist | 10660 Kingsport Hwy, Chuckey, TN 37641-3813 | 2020-02-19 |
| 1881980464 | State of Tn | Intermediate Care Facility, Mentally Retarded | 590 Stone Dam Rd, Chuckey, TN 37641-4905 | 2011-06-22 |
| 1982999769 | State of Tn | Intermediate Care Facility, Mentally Retarded | 744 Stone Dam Rd, Chuckey, TN 37641-4907 | 2011-06-09 |
| 1972712297 | Tresa Meshon Rice | Residential Treatment Facility, Physical Disabilities | 119 Mccartt Loop, Chuckey, TN 37641-5028 | 2007-05-22 |
| 1609920172 | Orville Ward Swarner Jr. | Pediatrics | 275 Burger Dr, Chuckey, TN 37641-5491 | 2007-01-22 |
| 1326548728 | Stephanie Brooke Hensley | Occupational Therapist | 55 Nursing Home Rd, Chuckey, TN 37641-5579 | 2018-02-13 |
| Find all providers in zip 37641 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427582907 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 3997 Chuckey Rd, Chuckey, TN 37641 | 2017-04-12 |
| 1881980464 | State of Tn | Intermediate Care Facility, Mentally Retarded | 590 Stone Dam Rd, Chuckey, TN 37641-4905 | 2011-06-22 |
| 1982999769 | State of Tn | Intermediate Care Facility, Mentally Retarded | 744 Stone Dam Rd, Chuckey, TN 37641-4907 | 2011-06-09 |
| 1982999777 | State of Tn | Intermediate Care Facility, Mentally Retarded | 143 Delzie Randolph Rd, Chuckey, TN 37641-6247 | 2011-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801303433 | Rha Health Services Tn LLC | Intermediate Care Facility, Mentally Retarded | 9041 Executive Park Dr Ste 204, Knoxville, TN 37923-4609 | 2018-01-04 |
| 1497276323 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 7815 Gamble Road, Georgetown, TN 37336 | 2017-06-30 |
| 1851812796 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 7817 Gamble Road, Georgetown, TN 37336 | 2017-06-30 |
| 1770019911 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 12629 S Northshore Dr, Knoxville, TN 37922-5446 | 2017-05-09 |
| 1891221271 | Sunrise Community of Tennessee, Inc. | Intermediate Care Facility, Mentally Retarded | 640 Old Shiloh Rd, Greeneville, TN 37745-0556 | 2017-05-04 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1669905386 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1811 Bishops Bridge Rd, Knoxville, TN 37922-6214 | 2017-04-10 |
| 1235660903 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1819 Bishops Bridge Rd, Knoxville, TN 37922-6214 | 2017-03-24 |
| 1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
| 1770024010 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1406 East Church Street, Greeneville, TN 37745 | 2017-03-20 |
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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.