STATE OF TENNESSEE (NPI# 1467760876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467760876 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE |
| Other Organization Name | DIDD EAST TN HOMES |
| Practice Address |
855 Meadowbrook Rd Afton TN 37616-6047 |
| 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 | 2010-09-20 |
| Last Update Date | 2011-06-09 |
| Authorized Official Name | MRS. MARGI 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 | 7447148 | 05 |
| Other Name | Type Code |
|---|---|
| DIDD EAST TN HOMES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417337056 | State of Tennessee | Physical Therapist | 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 | 2015-06-08 |
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1871997163 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 803 Redbud Dr, Greeneville, TN 37743-6141 | 2014-10-15 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1114330545 | State of Tennessee | Occupational Therapist | 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 | 2014-06-03 |
| 1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
| 1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
| 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 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| Street Address |
855 MEADOWBROOK RD |
| City | AFTON |
| State | TN |
| Zip Code | 37616-6047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720501430 | Shea Price Pitts | Nurse Practitioner | 343 Pine Ridge Drive, Afton, TN 37616 | 2017-07-25 |
| 1194261354 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 2619 Erwin Highway, Afton, TN 37616 | 2017-01-12 |
| 1326584830 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 2609 Erwin Highway, Afton, TN 37616 | 2017-01-09 |
| 1669956728 | Amethyst Moriah Crawford | Specialist/Technologist | 2515 Brittontown Rd, Afton, TN 37616-3951 | 2018-09-24 |
| 1447578786 | James H. Quillen Va Medical Center | Military Hospital | 2755 Babbs Mill Rd, Afton, TN 37616-4254 | 2010-05-11 |
| 1639620537 | Denise Alder | Specialist/Technologist | 365 Ripley Island Rd, Afton, TN 37616-5860 | 2016-10-17 |
| 1932316627 | Kathleen H. Wright | Speech-Language Pathologist | 160 Falcon Cir, Afton, TN 37616-6152 | 2007-05-16 |
| 1407030158 | Ted Craig Bleckstein | Dentist | 1085 River Village Ln, Afton, TN 37616-6219 | 2007-12-18 |
| 1588138374 | Beverly Fox | Physical Therapy Assistant | 215 Old Jonesboro Rd, Afton, TN 37616-6357 | 2019-01-15 |
| 1235469651 | Path Breakers | Case Management | 320 Preacher Laws Rd, Afton, TN 37616-6450 | 2010-01-07 |
| Find all providers in zip 37616 | ||||
| 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 |
|---|---|---|---|---|
| 1194261354 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 2619 Erwin Highway, Afton, TN 37616 | 2017-01-12 |
| 1326584830 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 2609 Erwin Highway, Afton, TN 37616 | 2017-01-09 |
| 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 |
| 1427582907 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 3997 Chuckey Rd, Chuckey, TN 37641 | 2017-04-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STATE OF TENNESSEE.
| 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.