MIDDLE TENNESSEE HOMES NPI 1417333568

NPI Information

NPI: 1417333568
Provider Name: MIDDLE TENNESSEE HOMES
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Other Name: EARHART 3
Address: 3207 EARHART ROAD
HERMITAGE, TN
ZIP 37076
Phone: (615) 231-5373

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NPI Details

MIDDLE TENNESSEE HOMES is an intermediate care facility mentally retarded in Hermitage, TN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MIDDLE TENNESSEE HOMES NPI is 1417333568. The provider is registered as an organization entity type.
The provider Other Name Is Earhart 3.

The provider's business location address is:

3207 EARHART ROAD
HERMITAGE, TN
ZIP 37076
Phone: (615) 231-5373
Fax: (615) 231-5074

The provider's authorized official is Jama Mccroskey Phillips .
The authorized official title is Middle Tennessee Homes Dir and has the following contact phone number (615) 231-5373.

The enumeration date for this NPI number is 7/30/2015 and was last updated on 7/30/2015.

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				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
1	7447185	MEDICAID	TENNESSEE
2	7447188	MEDICAID	TENNESSEE
3	7447187	MEDICAID	TENNESSEE
4	7447186	MEDICAID	TENNESSEE
5	7447184	MEDICAID	TENNESSEE
6	7447010	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: 11/21/2025

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