NPIMap

Organization Active NPI

Wayne Halfway House Inc.

  • Psychiatric Residential Treatment Facility
  • Waynesboro, TN
National Provider Identifier
1174818702
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
WAYNE HALFWAY HOUSE INC.
Practice address
942 Andrew Jackson Dr
Waynesboro, TN 38485-2360
Phone
(931) 722-3272
Fax
(931) 722-7428
NPI assigned
Jun 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Mr. Jason Scott Crews
Title
Executive Director
Phone
(931) 722-2435

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Community/Behavioral Health Agency 251S00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Multi-Specialty Clinic/Center 261QM1300X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X SO/10648A TN
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

942 Andrew Jackson Dr
Waynesboro, TN 38485-2360

Mailing address

942 Andrew Jackson Dr
Waynesboro, TN 38485-2360
Phone (931) 722-3272

Other identifiers 1

IdentifierTypeStateIssuer
Q019954MedicaidTN

National Provider Directory

National Provider Directory

Locations

942 Andrew Jackson Dr
Waynesboro, TN 38485
Phone (931) 253-2140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1174818702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 ANDREW JACKSON DR",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852360",
            "telephone_number": "931-722-3272",
            "fax_number": "931-722-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 ANDREW JACKSON DR",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852360",
            "telephone_number": "931-722-3272",
            "fax_number": "931-722-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE HALFWAY HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-11",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-722-2435",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "TN",
            "license": "SO/10648A",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019954",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.