STATE OF TENNESSEE NPI 1215200118

NPI Information

NPI: 1215200118
Provider Name: STATE OF TENNESSEE

Doing Business As: DIDD EAST TN COMMUNITY HOMES

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
2495 BUCKINGHAM ROAD
GREENEVILLE, TN
ZIP 37743
Phone: (423) 787-0414
Get Directions

STATE OF TENNESSEE is an intermediate care facility mentally retarded in Greeneville, TN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. STATE OF TENNESSEE NPI is 1215200118. The provider is registered as an organization entity type.
The provider Is Doing Business As Didd East Tn Community Homes.

The provider's business location address is:

2495 BUCKINGHAM ROAD
GREENEVILLE, TN
ZIP 37743
Phone: (423) 787-0414
Fax: (423) 787-6092

The provider's authorized official is Margi E Story .
The authorized official title is Director and has the following contact phone number (423) 787-6757.

The enumeration date for this NPI number is 2/23/2012 and was last updated on 2/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		I000000010289	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	31500000X	OTHER	TENNESSEE	TAXONOMY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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