Active NPI
Restoration Residential Services, LLC
- Developmentally Disabled Services Day Training Agency
- Madison, TN
National Provider Identifier
1154698520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- L00000008979
- Legal business name
- RESTORATION RESIDENTIAL SERVICES, LLC
- Practice address
- 1160 Gallatin Pike S Ste 202
Madison, TN 37115-4627 - Phone
- (615) 727-6299
- Fax
- (615) 229-0272
- NPI assigned
- Nov 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sereadia Cooke
- Title
- Owner
- Phone
- (615) 727-6299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | L00000008979 | TN | Primary |
Addresses
Primary practice location
1160 Gallatin Pike S Ste 202
Madison, TN 37115-4627
Mailing address
150 Spy Glass Way
Hendersonville, TN 37075-8548
Phone (615) 727-6299
National Provider Directory
National Provider DirectoryLocations
1160 Gallatin Pike S
Ste 202
Madison, TN 37115
Phone (615) 727-6299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322524800000",
"number": "1154698520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SPY GLASS WAY",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370758548",
"telephone_number": "615-727-6299",
"fax_number": "615-229-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 GALLATIN PIKE S STE 202",
"city": "MADISON",
"state": "TN",
"postal_code": "371154627",
"telephone_number": "615-727-6299",
"fax_number": "615-229-0272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATION RESIDENTIAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-29",
"last_updated": "2011-11-29",
"status": "A",
"authorized_official_last_name": "COOKE",
"authorized_official_first_name": "SEREADIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-727-6299",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "TN",
"license": "L00000008979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.