Organization Active NPI

Behavioral Healthcare Center at Martin LLC

  • Psychiatric Hospital
  • Martin, TN
National Provider Identifier
1144324831
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
L2160466176 Issued in TN
Legal business name
BEHAVIORAL HEALTHCARE CENTER AT MARTIN LLC
Practice address
458 Hannings Lane
Martin, TN 38237
Phone
(731) 588-2830
Fax
(731) 587-6923
NPI assigned
Sep 12, 2006
Last updated
Dec 21, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN HEALTH COMPANIES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Ms. Robin F Bradley
Title
Secretary
Phone
(615) 595-8383

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X L2160466176 TN Primary
Psychiatry Physician 2084P0800X

Addresses

Primary practice location

458 Hannings Lane
Martin, TN 38237

Mailing address

P.O, Box 10
Parsons, TN 38363-0010
Phone (731) 847-6343

Other identifiers 2

IdentifierTypeStateIssuer
4110035OtherTNBLUE CROSS BLUE SHIELD
0444005MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050324000399 TN Part A Provider - Hospital 5698721462 Practice locations: Martin, TN
O20070830000858 TN Part B Supplier - Clinic/Group Practice 5698721462 Receives reassigned benefits from 5 practitioners
Practice locations: Martin, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144324831. Details of each certification follow.

Hospital certification: CCN 444005

Legal name
BEHAVIORAL HEALTHCARE CENTER AT MARTIN, LLC
Doing business as
UNITY PSYCHIATRIC CARE- MARTIN
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jun 17, 2005
Last certification
Sep 23, 2024
Beds
16
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jan 23, 2004 in TN
Enrollment address
458 Hannings LN
Martin, TN 38237-3308
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Unity Psychiatric Care-MartinCCN 444005 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Orchard Holdings LLC Organization, Birmingham, MI Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 47.07%
FLP Limited Partnership Organization, Tampa, FL Created for acquisition 5% Or Greater Indirect Ownership Interest Apr 6, 2021 100%
Carrie Brawley Individual W-2 Managing EmployeeAdministrator Feb 1, 2005 100%
Mitchell Family Irrevocable Trust U/a Dated December 28, 2012 Organization, Birmingham, MI Created for acquisition 5% Or Greater Indirect Ownership Interest Apr 6, 2021 23.54%
Robin Bradley Individual Corporate OfficerSecretary Apr 5, 2018
Corporate DirectorDirector Apr 5, 2018
Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016 Organization, Birmingham, MI 5% Or Greater Indirect Ownership Interest Apr 6, 2021 11.77%
Ahp Orchards LLC Organization, Southfield, MI Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 93.32%
American Health Companies LLC Organization, Franklin, TN LLC, For-profit, Chain home office 5% Or Greater Direct Ownership Interest Aug 17, 2010 100%
Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017 Organization, Birmingham, MI 5% Or Greater Indirect Ownership Interest Apr 6, 2021 11.77%
Mfo Ahp LLC Organization, Birmingham, MI Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 99.02%
Orchard Holdings II LLC Organization, Birmingham, MI Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 23.54%
American Health Partners Management LLC Organization, Franklin, TN LLC, Management services company Operational/Managerial Control Jan 17, 2020
Mark T Mitchell Individual 5% Or Greater Indirect Ownership InterestOwner Apr 6, 2021 47.07%
Michael D Bailey Individual Corporate OfficerPresident Apr 1, 2016
Corporate DirectorDirector May 3, 2017
Jeffrey Bogle Individual Corporate OfficerTreasurer Apr 1, 2016
Corporate DirectorDirector Dec 20, 2016
Orchard Holdings III, LLC Organization, Birmingham, MI Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 23.54%

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1144324831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O, BOX 10",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383630010",
            "telephone_number": "731-847-6343",
            "fax_number": "731-847-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 HANNINGS LANE",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "38237",
            "telephone_number": "731-588-2830",
            "fax_number": "731-587-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTHCARE CENTER AT MARTIN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN HEALTH COMPANIES INC",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-595-8383",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TN",
            "license": "L2160466176",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4110035",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444005",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

Verify at the official NPI Registry.