Organization Active NPI

Nicholas Matters Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Selmer, TN
National Provider Identifier
1154699312
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
NICHOLAS MATTERS INC.
Practice address
191 Crabtree Road
Selmer, TN 38375
Phone
(731) 439-6560
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Teresa Jeanine Story
Title
Administrator
Phone
(731) 439-6530

Specialties & licenses 1

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

Addresses

Primary practice location

191 Crabtree Road
Selmer, TN 38375

Mailing address

191 Crabtree Rd
Selmer, TN 38375-6235
Phone (731) 439-6530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1154699312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 CRABTREE RD",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383756235",
            "telephone_number": "731-439-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 CRABTREE ROAD",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "38375",
            "telephone_number": "731-439-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS MATTERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "STORY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "731-439-6530"
    },
    "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 Selmer, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.