ST. JOHN'S COMMUNITY SERVICES (NPI# 1710008628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710008628 |
| Entity Type | Organization |
| Organization Name | ST. JOHN'S COMMUNITY SERVICES |
| Practice Address |
7891 Stage Hills Blvd Suite 116 Bartlett TN 38133-4052 |
| Practice Telephone | 9013843645 |
| Practice Fax Number | 9013859450 |
| Mailing Telephone | 9013843645 |
| Mailing Fax Number | 9013859450 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JULIA BRATCHER (STATE DIRECTOR) |
| Authorized Official Telephone | 9013843645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | L3(20)4M3-056-62 | TN | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225261084 | St. John's Community Services | Day Training, Developmentally Disabled Services | 520 N Columbus Blvd, Philadelphia, PA 19123-4226 | 2009-08-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. JOHN'S COMMUNITY SERVICES | 901 D St Sw Ste 800, Washington, DC 20024-2273 |
| New York State Corporations | ST. JOHN'S COMMUNITY SERVICES - NEW YORK | 901 D Street Sw Suite 800, Washington, Dc 20024 |
| Street Address |
7891 STAGE HILLS BLVD SUITE 116 |
| City | BARTLETT |
| State | TN |
| Zip Code | 38133-4052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1487142048 | David Charles Riddle | Pharmacist | 8400 Hwy 64, Bartlett, TN 38133 | 2018-04-28 |
| 1366943177 | Calandra White Shannon | Physical Therapist | 8025 Highway 64, Suite 102, Memphis, TN 38133 | 2018-02-27 |
| 1285144527 | Annice R.h. Overall | Social Worker | 2561 Sunny Glade Cove, Memphis, TN 38133 | 2017-09-30 |
| 1275050098 | Bartlett Asc, LLC | Clinic/Center | 3045 Kate Bond Road, Bartlett, TN 38133 | 2017-08-23 |
| 1407385297 | Tennessee Psychiatric Services Pllc | Psychiatry & Neurology | 2965 N Germantown Rd Ste 116, Bartlett, TN 38133 | 2017-06-06 |
| 1598113656 | Sensory World Memphis | Durable Medical Equipment & Medical Supplies | 2965 N Germantown Rd Suite 107, Bartlett, TN 38133 | 2016-05-31 |
| 1659754471 | Grant Coleman Dasher | Dentist | 2705 Appling Road Suite 101, Memphis, TN 38133 | 2015-06-30 |
| 1134533243 | Caelyn Newport | Chiropractor | 7879 Crescent Hill Dr., Memphis, TN 38133 | 2014-06-17 |
| 1033536479 | Lunceford Family Health Center | Internal Medicine | 7865 Edcator's Ln Suite 300, Bartlett, TN 38133 | 2014-03-24 |
| Find all providers in zip 38133 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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|---|---|---|---|---|
| 1821617671 | Master Remodelers LLC | Point of Service | 10820 Kingston Pike Ste 5, Knoxville, TN 37934-3065 | 2020-04-13 |
| 1477089910 | Laser Aesthetics Body and Wellness | Point of Service | 9755 Highway 64, Suite 101, Arlington, TN 38002-8579 | 2017-05-03 |
| 1518499771 | Tuesday and Company, Inc. | Point of Service | 502 N Garden St, Suite 104, Columbia, TN 38401-3238 | 2017-03-28 |
| 1134673437 | Dearing Physical Medicine | Point of Service | 201 Rosa Helm Way, Franklin, TN 37067-8408 | 2016-08-04 |
| 1386008753 | Spirit of Service Counseling & Wellness Center, LLC | Point of Service | 3568 Kearney Ave, Memphis, TN 38111-5743 | 2016-04-11 |
| 1093110546 | Blessed Homecare LLC | Point of Service | 219 Evergreen Cir, Hendersonville, TN 37075-2944 | 2014-10-27 |
| 1265854947 | Parker & Parker Dds Pa | Point of Service | 111 S Weisgarber Rd, Knoxville, TN 37919-4928 | 2014-01-14 |
| 1891131801 | Northcliff, Aclf | Point of Service | 14691 Highway 22 N, Lexington, TN 38351-4825 | 2013-05-16 |
| 1508106741 | Vick Partners LLC | Point of Service | 905 Hamlet Dr, Murfreesboro, TN 37128-5297 | 2013-02-25 |
| 1174884746 | Omni Home Health | Point of Service | 510 Hospital Dr Ste 101, Madison, TN 37115-5033 | 2012-05-31 |
| Find all providers with the same taxonomy | ||||
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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.