Organization Active NPI

Restoration Residential Services, LLC

  • Developmentally Disabled Services Day Training Agency
  • Madison, TN
National Provider Identifier
1154698520
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
L00000008979 Issued in TN
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

Updated by the provider on Nov 29, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.