Active NPI
Nashville Detox LLC.
- Substance Abuse Rehabilitation Facility
- Nashville, TN
National Provider Identifier
1265058481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00109777 | Other | LLC. |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2258873 | Nashville Detox LLC | Certificate of waiver | Apr 27, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Nashville, TN
- NPI 1770582140
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
- Nashville Counseling Associates, PLLC
- Nashville Counseling Sessions
- Nashville Dental Center
- Nashville Dental Studio PLLC
- Nashville Dermatology & Skin Cancer Clinic
- Nashville Emotional Wellness Counseling PLLC
- Nashville Emotional Wellness Counseling PLLC
- Nashville Eye Associates, P.C.
- Nashville Eye Center Optical
- Nashville Eyeworks
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.