EAGLES NEST MENTAL HEALTH SERVICES INC NPI 1295007839

NPI Information

NPI: 1295007839
Provider Name: EAGLES NEST MENTAL HEALTH SERVICES INC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
319 PLUS PARK BLVD
SUITE 201
NASHVILLE, TN
ZIP 37217
Phone: (615) 915-4074
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EAGLES NEST MENTAL HEALTH SERVICES INC is a residential treatment facility, intellectual and/or developmental disabilities in Nashville, TN. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. EAGLES NEST MENTAL HEALTH SERVICES INC NPI is 1295007839. The provider is registered as an organization entity type.

The provider's business location address is:

319 PLUS PARK BLVD
SUITE 201
NASHVILLE, TN
ZIP 37217-098
Phone: (615) 915-4074
Fax: (615) 942-6392

The provider's authorized official is Thelma Willene Johnson .
The authorized official title is Executive Director and has the following contact phone number (615) 915-4074.

The enumeration date for this NPI number is 1/28/2012 and was last updated on 2/1/2012.

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	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	7929	TENNESSEE	No
2	253Z00000X	In Home Supportive Care	7929	TENNESSEE	No
3	343900000X	Non-emergency Medical Transport (VAN)	7929	TENNESSEE	No
4	251C00000X	Day Training, Developmentally Disabled Services	7929	TENNESSEE	No
5	385H00000X	Respite Care	7929	TENNESSEE	No
6	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	7929	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	H42	MEDICAID	TENNESSEE

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: 11/14/2023

NPI Synchronization or Removal

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