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CLOVER BOTTOM DEVELOPMENTAL CENTER NPI 1356785307


NPI Information

NPI: 1356785307
Provider Name: CLOVER BOTTOM DEVELOPMENTAL CENTER

Doing Business As: DAY ONE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
275 STEWARTS FERRY PIKE
NASHVILLE, TN
ZIP 37214
Phone: (615) 231-5000
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CLOVER BOTTOM DEVELOPMENTAL CENTER is an intermediate care facility mentally retarded in Nashville, TN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CLOVER BOTTOM DEVELOPMENTAL CENTER NPI is 1356785307. The provider is registered as an organization entity type.
The provider Is Doing Business As Day One.

The provider's business location address is:

275 STEWARTS FERRY PIKE
NASHVILLE, TN
ZIP 37214-325
Phone: (615) 231-5000
Fax: (615) 231-5074

The provider's authorized official is Stacey Lynn Dixon .
The authorized official title is Chief Officer and has the following contact phone number (615) 231-5300.

The enumeration date for this NPI number is 4/22/2013 and was last updated on 4/22/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesL000000011844TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17447010MEDICAIDTENNESSEE

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: 4/28/2024

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