Exceptional Development Family Treatment Center, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

EXCEPTIONAL DEVELOPMENT FAMILY TREATMENT CENTER, LLC

Doing business as

Exceptional Development Family Treatment Center, LLC

Practice address

10422 Redmond Dr
Cordova, TN 38016-5437

Phone

(901) 267-2015

NPI assigned

Sep 11, 2009

Last updated

Jan 7, 2019By 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

Mrs. Rhonda Crenshaw, MED.,CCC-SLPNPI 1558672980

Title

Ceo

Phone

(901) 267-2015

Specialties & licenses 8

Addresses

Other names 1

• Exceptional Development Family Treatment Center, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rhonda Elaine Crenshaw, SP

  • Speech-Language Pathologist
  • Cordova, TN
  • NPI 1558672980
  Authorized official Same address or phone

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1265765945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10422 REDMOND DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165437",
            "telephone_number": "901-267-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10422 REDMOND DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165437",
            "telephone_number": "901-267-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL DEVELOPMENT FAMILY TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-267-2015",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exceptional Development Family Treatment Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Exceptional Development Family Treatment Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erick Estime, PHARMD
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• Sherwonna K. Evans, MA, CCC-SLP
• Neil Mark Everingham, AUDIOLOGIST
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• Developmentally Disabled Services Day Training Agency in Cordova, TN
• Providers in Cordova, TN by specialty
• Developmentally Disabled Services Day Training Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.