Organization Active NPI

Our Home Place

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Kingsport, TN
National Provider Identifier
1396133096
Registry record updated Jan 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
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

Updated by the provider on Jan 3, 2015

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

Authorized official

Name
Mr. Jeffrey McKeeNPI 1760870463
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)CodeLicenseStatePrimary
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 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.

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.

Verify at the official NPI Registry.