NPIMap

Organization Active NPI

D&S Residential Services, LP

  • Intellectual Disabilities Intermediate Care Facility
  • Greeneville, TN
National Provider Identifier
1336685569
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
D&S RESIDENTIAL SERVICES, LP
Practice address
1010 Old Stage Rd
Greeneville, TN 37745
Phone
(423) 787-0382
Fax
(423) 787-0561
NPI assigned
Jan 11, 2017
Organization subpart
Yes
Parent organization
D&S RESIDENTIAL HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Authorized official

Name
Brett Ian Cohen
Title
Coo
Phone
(800) 388-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

1010 Old Stage Rd
Greeneville, TN 37745

Mailing address

8911 N Capital of Texas Hwy
BLDG 1., Ste. 1300
Austin, TX 78759-7247
Phone (512) 327-2325

Other names 1

  • Stage Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 44G183

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
OLD STAGE ICF
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 1, 2017
Last certification
Jul 16, 2025
Beds
4
Ownership / control type
Private (proprietary)
Facility address
1010 Old Stage Road
Greeneville, TN 37745

National Provider Directory

National Provider Directory
Tax ID family
DS Residential Services LP77 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677888000000",
    "number": "1336685569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 N CAPITAL OF TEXAS HWY",
            "address_2": "BLDG 1., STE. 1300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597247",
            "telephone_number": "512-327-2325",
            "fax_number": "512-327-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 OLD STAGE RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "37745",
            "telephone_number": "423-787-0382",
            "fax_number": "423-787-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&S RESIDENTIAL SERVICES, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D&S RESIDENTIAL HOLDINGS, LLC",
        "enumeration_date": "2017-01-11",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-388-5150"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stage",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Stage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.