Organization Active NPI

Landmark Recovery of Tennessee LLC

  • Substance Abuse Rehabilitation Facility
  • Seymour, TN
National Provider Identifier
1215609565
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LANDMARK RECOVERY OF TENNESSEE LLC
Practice address
1016 Ic King Rd
Seymour, TN 37865-3150
Phone
(865) 213-1080
Fax
(888) 587-9064
NPI assigned
Oct 4, 2021
Last updated
Jun 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Alicia Neal
Title
Contracting Specialist
Phone
(615) 281-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1016 Ic King Rd
Seymour, TN 37865-3150

Mailing address

720 Cool Springs Blvd Ste 500
Franklin, TN 37067-7259

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2238874Landmark Recovery of Tennessee1016 Ic King Rd, Seymour, TN 37865Certificate of waiverOct 6, 2027

National Provider Directory

National Provider Directory

Locations

1016 Ic King Rd
Seymour, TN 37865
Phone (654) 488-5174

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1215609565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COOL SPRINGS BLVD STE 500",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 IC KING RD",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378653150",
            "telephone_number": "865-213-1080",
            "fax_number": "888-587-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK RECOVERY OF TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CONTRACTING SPECIALIST",
        "authorized_official_telephone_number": "615-281-9050"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.