Organization Active NPI

21St Century Living Services, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Gallatin, TN
National Provider Identifier
1376051763
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.