Active NPI
21St Century Living Services, Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Gallatin, TN
National Provider Identifier
1376051763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- 21ST CENTURY LIVING SERVICES, INC
- Practice address
- 575 Airport Rd
Gallatin, TN 37066-4901 - Phone
- (615) 452-9766
- Fax
- (615) 452-1125
- NPI assigned
- Jan 19, 2018
- Last updated
- Mar 17, 2018
- 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. John Birdwell
- Title
- President
- Phone
- (615) 452-9766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
575 Airport Rd
Gallatin, TN 37066-4901
Mailing address
575 Airport Rd
Gallatin, TN 37066-4901
Phone (615) 452-9766
Other practice location 1
1002 Hartsville Pike
Gallatin, TN 37066-2531
Phone (615) 452-9766
Other practice location 2
882 Leigh Ln
Gallatin, TN 37066-2540
Phone (615) 452-9766
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, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Gallatin, TN
- NPI 1760700686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1376051763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 AIRPORT RD",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370664901",
"telephone_number": "615-452-9766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 AIRPORT RD",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370664901",
"telephone_number": "615-452-9766",
"fax_number": "615-452-1125"
}
],
"practiceLocations": [
{
"address_1": "1002 Hartsville Pike",
"address_purpose": "LOCATION",
"city": "Gallatin",
"state": "TN",
"postal_code": "370662531",
"country_code": "US",
"telephone_number": "615-452-9766",
"fax_number": "615-452-1125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "882 Leigh Ln",
"address_purpose": "LOCATION",
"city": "Gallatin",
"state": "TN",
"postal_code": "370662540",
"country_code": "US",
"telephone_number": "615-452-9766",
"fax_number": "615-452-1125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "21ST CENTURY LIVING SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-19",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "BIRDWELL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-452-9766",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.