Sweetwater Living, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SWEETWATER LIVING, LLC

Practice address

245 Butler Dr
Sweetwater, TN 37874-1441

Phone

(423) 337-9742

NPI assigned

Mar 6, 2014

Last updated

Mar 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Michael Potts, MSC

Title

President

Phone

(865) 567-2397

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1437575008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CATAWBA AVE",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377164707",
            "telephone_number": "865-216-8060",
            "fax_number": "888-276-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BUTLER DR",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378741441",
            "telephone_number": "423-337-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-567-2397",
        "authorized_official_credential": "MSC"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweetwater Hospital Association (Sweetwater Physician Group)
• Sweetwater Hospital Association (Sweetwater Hospital Crna Group)
• Sweetwater Hospital Association (Sweetwater Home Health Agency)
• Sweetwater Hospital Association DME
• Sweetwater Hospital ER Physician Group
• Sweetwater Nursing Center Inc (Sweetwater Nursing Center)
• Sweetwater Worx LLC (Wil Sav Drugs of Sweetwater)
• Syed Amer MD
• Michele Lynn Tate, DO
• Tennessee Cancer Specialists PLLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sweetwater, TN
• Providers in Sweetwater, TN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.