Recovery House of East Tennessee

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1000000018684 Issued in TN

Legal business name

RECOVERY HOUSE OF EAST TENNESSEE

Practice address

105 Caldwell Cir
Oliver Springs, TN 37840-2328

Phone

(702) 673-7116

NPI assigned

Jul 13, 2016

Last updated

Jul 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Milton Peddy II

Title

Ceo

Phone

(702) 673-7116

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1134571250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CALDWELL CIR",
            "city": "OLIVER SPRINGS",
            "state": "TN",
            "postal_code": "378402328",
            "telephone_number": "702-673-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CALDWELL CIR",
            "city": "OLIVER SPRINGS",
            "state": "TN",
            "postal_code": "378402328",
            "telephone_number": "702-673-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY HOUSE OF EAST TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "PEDDY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-673-7116",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": "1000000018684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.