Organization Active NPI

Bios of Tennessee, LLC

  • Developmentally Disabled Services Day Training Agency
  • Bartlett, TN
National Provider Identifier
1376758540
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BIOS OF TENNESSEE, LLC
Practice address
2855 Stage Village CV
Bartlett, TN 38134-4616
Phone
(901) 388-0258
Fax
(901) 388-4254
NPI assigned
May 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lori Mouse
Title
Chief Financial Officer
Phone
(918) 227-8390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X TN Primary

Addresses

Primary practice location

2855 Stage Village CV
Bartlett, TN 38134-4616

Mailing address

309 E Dewey Ave
Sapulpa, OK 74066-4301
Phone (918) 227-8390

Other identifiers 3

IdentifierTypeStateIssuer
05216WOtherTNCONTRACT NUMBER
00B98OtherTNPROVIDER NUMBER
X098OtherTNLIST NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Bios of Tennessee LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2855 Stage Village Cv
Bartlett, TN 38134
Phone (901) 388-0258

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376758540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E DEWEY AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664301",
            "telephone_number": "918-227-8390",
            "fax_number": "918-227-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 STAGE VILLAGE CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344616",
            "telephone_number": "901-388-0258",
            "fax_number": "901-388-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOS OF TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOUSE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "918-227-8390"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRACT NUMBER",
            "identifier": "05216W",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "00B98",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIST NUMBER",
            "identifier": "X098",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.