Organization Active NPI

Nashville Detox LLC.

  • Substance Abuse Rehabilitation Facility
  • Nashville, TN
National Provider Identifier
1265058481
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NASHVILLE DETOX LLC.
Practice address
327 Haywood LN
Nashville, TN 37211-5424
Phone
(615) 294-4222
NPI assigned
Jun 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Mr. Ron Pruitt
Title
Ceo
Phone
(615) 400-5005

Specialties & licenses 1

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

Addresses

Primary practice location

327 Haywood LN
Nashville, TN 37211-5424

Mailing address

4235 Hillsboro Pike Ste 300
Nashville, TN 37215-3344
Phone (615) 400-5005

Other identifiers 1

IdentifierTypeStateIssuer
00109777OtherLLC.

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
44D2258873Nashville Detox LLC327 Haywood Lane, Nashville, TN 37211Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory

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": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1265058481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 HILLSBORO PIKE STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153344",
            "telephone_number": "615-400-5005",
            "fax_number": "888-490-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 HAYWOOD LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115424",
            "telephone_number": "615-294-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHVILLE DETOX LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-400-5005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLC.",
            "identifier": "00109777",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.