The Ranch on the Piney River, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

12140369355 Issued in TN

Legal business name

THE RANCH ON THE PINEY RIVER, INC.

Doing business as

The Ranch

Practice address

6107 Pinewood Rd
Nunnelly, TN 37137-2523

Phone

(931) 729-9631

Fax

(931) 729-9632

NPI assigned

Nov 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Miles Adcox

Title

Ceo

Phone

(931) 729-9631

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Ranch Doing business as

Tax ID family

The Ranch2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Ranch

  • Substance Abuse Rehabilitation Facility
  • Nunnelly, TN
  • NPI 1316174261
  NPD tax ID

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184791634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 PINEWOOD RD",
            "city": "NUNNELLY",
            "state": "TN",
            "postal_code": "371372523",
            "telephone_number": "931-729-9631",
            "fax_number": "931-729-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 PINEWOOD RD",
            "city": "NUNNELLY",
            "state": "TN",
            "postal_code": "371372523",
            "telephone_number": "931-729-9631",
            "fax_number": "931-729-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RANCH ON THE PINEY RIVER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADCOX",
        "authorized_official_first_name": "MILES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-729-9631",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "12140369355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MH OUPTATIENT FACILITY",
            "identifier": "12140369355",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Edward Fuller, M.D.
• Jordan McKenzie Osborne, PMHNP-BC
• PB Outpatient Services Tennessee, LLC (The Ranch Tennessee)
• Rhonda K Rodriguez, APRN, FPMHNP
• The Ranch

• Community/Behavioral Health Agency in Nunnelly, TN
• Providers in Nunnelly, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.