SWEETWATER LIVING, LLC (NPI# 1437575008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437575008 |
| Entity Type | Organization |
| Organization Name | SWEETWATER LIVING, LLC |
| Practice Address |
245 Butler Dr Sweetwater TN 37874-1441 |
| Mailing Address |
609 Catawba Ave Clinton TN 37716-4707 |
| Practice Telephone | 4233379742 |
| Mailing Telephone | 8652168060 |
| Mailing Fax Number | 8882761061 |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | KEVIN MICHAEL POTTS (PRESIDENT) |
| Authorized Official Telephone | 8655672397 |
| Authorized Official Credential | MSC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
245 BUTLER DR |
| City | SWEETWATER |
| State | TN |
| Zip Code | 37874-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467761841 | Sweetwater Home for Seniors | Assisted Living Facility | 245 Butler Dr, Sweetwater, TN 37874-1441 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588109003 | Tammy Allen | Speech-Language Pathologist | 120 Clover Hill Drive, Sweetwater, TN 37874 | 2016-12-20 |
| 1194164996 | Wal-mart Stores East, Lp | Technician/Technologist | 935 State Hwy 11 South, Sweetwater, TN 37874 | 2013-06-14 |
| 1609117720 | Wal-mart Stores East Lp | Pharmacy | 935 State Highway 11 South, Sweetwater, TN 37874 | 2013-03-14 |
| 1568537868 | Joe Allen Moore | Dentist | 206 Mayes Ave, Sweetwater, TN 37874 | 2006-11-21 |
| 1699880518 | John Michael Fox | Dentist | 201 S High St, Sweetwater, TN 37874 | 2006-08-20 |
| 1114931516 | Thomas Alan Foster | Optometrist | 689a Hwy 68, Sweetwater, TN 37874 | 2006-07-28 |
| 1962486183 | Sweetwater Nursing Center Inc | Nursing Facility/Intermediate Care Facility | 978 Highway 11 South, Sweetwater, TN 37874 | 2005-12-01 |
| 1518953777 | John G Richeson | Dentist | 745 New Highway 68, Sweetwater, TN 37874 | 2005-09-23 |
| 1861973737 | Shannon Dale Massingale | Pharmacist | 205 North Main Street, Sweetwater, TN 37874 | 2018-08-28 |
| 1962833913 | Bridgette Vestal | Pharmacist | 935 State Hwy 11 South, Sweetwater, TN 37874 | 2013-12-02 |
| Find all providers in zip 37874 | ||||
| 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 |
|---|---|---|---|---|
| 1245336502 | West Texas Centers for Mhmr | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1207 Town Creek Dr, Sweetwater, TX 79556-6033 | 2006-09-15 |
| 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 | ||||
| City | SWEETWATER |
| Zip Code | 37874 |
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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.