Active NPI
Our Home Place
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Kingsport, TN
National Provider Identifier
1396133096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- OUR HOME PLACE
- Practice address
- 305 Spearhead Cir
Kingsport, TN 37664-6200 - Phone
- (423) 323-5092
- Fax
- (423) 323-5092
- NPI assigned
- Jan 3, 2015
- 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. Jeffrey McKee
- Title
- Chief Operating Officer
- Phone
- (423) 612-8628
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
305 Spearhead Cir
Kingsport, TN 37664-6200
Mailing address
305 Spearhead Cir
Kingsport, TN 37664-6200
Phone (423) 323-5092
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Kingsport, TN
- NPI 1760870463
Day Training, Developmentally Disabled Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420243200000",
"number": "1396133096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 SPEARHEAD CIR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376646200",
"telephone_number": "423-323-5092",
"fax_number": "423-323-5092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 SPEARHEAD CIR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376646200",
"telephone_number": "423-323-5092",
"fax_number": "423-323-5092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR HOME PLACE",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-03",
"last_updated": "2015-01-03",
"status": "A",
"authorized_official_last_name": "MCKEE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "423-612-8628",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.