NEW LIFE TN (NPI# 1578603296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578603296 |
| Entity Type | Organization |
| Organization Name | NEW LIFE TN |
| Practice Address |
702 Hundred Oaks St Winchester TN 37398-2570 |
| Practice Telephone | 9319670100 |
| Mailing Telephone | 9319670100 |
| Mailing Fax Number | 9319621483 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2014-11-06 |
| Authorized Official Name | MR. ROBERT WRIGHT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9319670100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | L000000008569 | TN | Agencies |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | L000000008569 | TN | Residential Treatment Facilities |
| Street Address |
702 HUNDRED OAKS ST |
| City | WINCHESTER |
| State | TN |
| Zip Code | 37398-2570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738170 | Results-ast Jv, LLC | Physical Therapist | 2030 Cowan Highway, Suite 1, Winchester, TN 37398 | 2020-10-21 |
| 1902239759 | Ann C Richardson | Pharmacist | 1201 Dinah Shore Blvd, Winchester, TN 37398 | 2013-08-15 |
| 1851734230 | Gina Renee Jacobs | Ambulance | 305 N College St., Winchester, TN 37398 | 2013-04-16 |
| 1083895205 | Jill Kay Stokes | Occupational Therapy Assistant | 463 Dripping Springs Road, Winchester, TN 37398 | 2007-11-15 |
| 1962581702 | Carol H Wallace | Pharmacy | 1201 Dinah Shore Boulevard, Winchester, TN 37398 | 2006-11-03 |
| 1457459562 | Karen A Tidmore | Family Medicine | 1811 Sharp Springs Rd, Winchester, TN 37398 | 2006-09-20 |
| 1356385967 | Sherry Lee | Nurse Practitioner | 1211 Dinah Shore Blvd, Winchester, TN 37398 | 2006-06-15 |
| 1912985425 | Caresouth Hha Holdings of Winchester LLC | Durable Medical Equipment & Medical Supplies | 2068 Cowan Hwy, Winchester, TN 37398 | 2006-01-04 |
| 1215372768 | Clive Anderson Wasson | Surgery | 83 Memorial Dr, Winchester, TN 37398 | 2013-05-09 |
| 1326322967 | John Anthony O'driscoll Jr. | Physical Therapist | 2030 Cowan Hwy Ste 1, Winchester, TN 37398 | 2011-09-30 |
| Find all providers in zip 37398 | ||||
| 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 |
|---|---|---|---|---|
| 1710905179 | Shenandoah Valley Community Residences, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 E Piccadilly St, Suite 7, Winchester, VA 22601-4869 | 2006-07-17 |
| 1609286483 | Corum Human Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 433 Lilys Way, Winchester, VA 22602-7686 | 2014-05-02 |
| 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 | WINCHESTER |
| Zip Code | 37398 |
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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.