LA PALOMA TREATMENT CENTER LLC NPI 1689674368

NPI Information

NPI: 1689674368
Provider Name: LA PALOMA TREATMENT CENTER, LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2009 LAMAR AVENUE
MEMPHIS, TN
ZIP 38114
Phone: (615) 345-3217
Get Directions

LA PALOMA TREATMENT CENTER, LLC is a community based residential treatment facility mental illness in Memphis, TN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. LA PALOMA TREATMENT CENTER, LLC NPI is 1689674368. The provider is registered as an organization entity type.

The provider's business location address is:

2009 LAMAR AVENUE
MEMPHIS, TN
ZIP 38114-138
Phone: (615) 345-3217
Fax: (615) 373-4656

The provider's authorized official is Steve Filton .
The authorized official title is Evp-chief Financial Officer and has the following contact phone number (610) 382-3319.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 5/20/2019.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	I 2(14)M2-077-9751	TENNESSEE	No
2	261QM0850X	Clinic/Center	Adult Mental Health	L 2(14)M3-017-6472	TENNESSEE	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0000000109	TENNESSEE	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0000000032	TENNESSEE	No
5	323P00000X	Psychiatric Residential Treatment Facility		L 217-017-6471	TENNESSEE	No
6	324500000X	Substance Abuse Rehabilitation Facility		0000000109	TENNESSEE	No
7	320800000X	Community Based Residential Treatment Facility, Mental Illness		L000000010053	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	3105734	OTHER	TENNESSEE	BCBST PROVIDER ID

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »