NPIMap

Organization Active NPI

Centerstone of America

  • Mental Illness Community Based Residential Treatment Facility
  • Nashville, TN
National Provider Identifier
1043685563
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CENTERSTONE OF AMERICA
Practice address
717 Hart LN
Nashville, TN 37216-2007
Phone
(615) 460-4290
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dwayne Larvel Ricketts
Title
Residential Counselor
Phone
(615) 460-4290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

717 Hart LN
Nashville, TN 37216-2007

Mailing address

717 Hart LN
Nashville, TN 37216-2007
Phone (615) 460-4290

National Provider Directory

National Provider Directory
Tax ID family
Centerstone3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1043685563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 HART LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372162007",
            "telephone_number": "615-460-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 HART LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372162007",
            "telephone_number": "615-460-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERSTONE OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "RICKETTS",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "LARVEL",
        "authorized_official_title_or_position": "RESIDENTIAL COUNSELOR",
        "authorized_official_telephone_number": "615-460-4290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.