Organization Active NPI

McNairy County Developmental Services

  • Nursing Care Agency
  • Selmer, TN
National Provider Identifier
1306982665
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
PSS0000000053 Issued in TN
Legal business name
MCNAIRY COUNTY DEVELOPMENTAL SERVICES
Practice address
565 Industrial Park Dr
Selmer, TN 38375-3278
Phone
(731) 645-7730
Fax
(731) 645-9118
NPI assigned
Jan 30, 2007
Last updated
Mar 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Jeannie T Teuber
Title
Executive Director
Phone
(731) 645-7730

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X L3(2)4M40966344 TN
Nursing Care Agency 251J00000X PSS0000000053 TN Primary
Non-emergency Medical Transport (VAN) 343900000X NU

Addresses

Primary practice location

565 Industrial Park Dr
Selmer, TN 38375-3278

Mailing address

565 Industrial Park Dr
Selmer, TN 38375-3278
Phone (731) 645-7730

National Provider Directory

National Provider Directory

Locations

565 Industrial Park Dr
Selmer, TN 38375
Phone (731) 645-7730

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1306982665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 INDUSTRIAL PARK DR",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383753278",
            "telephone_number": "731-645-7730",
            "fax_number": "731-645-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 INDUSTRIAL PARK DR",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383753278",
            "telephone_number": "731-645-7730",
            "fax_number": "731-645-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNAIRY COUNTY DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "TEUBER",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "731-645-7730"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "L3(2)4M40966344",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TN",
            "license": "PSS0000000053",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selmer, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.