West TN Developmental Services

Primary specialty

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

Legal business name

WEST TN DEVELOPMENTAL SERVICES

Practice address

131 Tucker St Ste 11
Jackson, TN 38301-4055

Phone

(731) 217-6103

NPI assigned

Aug 27, 2024

Organization subpart

No

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

Authorized official

Name

Jeremy O BeardNPI 1033827852

Title

Ceo

Phone

(731) 694-5810

Specialties & licenses 1

Addresses

Other names 1

• West TN Developmental Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy O'Brien Beard

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jackson, TN
  • NPI 1033827852

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1487488128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 TUCKER ST STE 11",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014055",
            "telephone_number": "731-217-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 TUCKER ST STE 11",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014055",
            "telephone_number": "731-217-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TN DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-694-5810"
    },
    "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": [
        {
            "organization_name": "West TN Developmental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Tennessee Rehab Group, P.C.
• West Tennessee Rehabilitation Hospital, LLC
• West Tennessee Transitional Care LLC
• West Tennessee Walk in Clinic, Inc
• West TN Auto Care Inc.
• West TN Neuropsychology & Mental Health Center
• West TN Pharmaceutical Care, LLC
• Alecia Caldwell West, RN
• Mark Ellis West, PHARM.D.
• Naadia West, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jackson, TN
• Providers in Jackson, 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 Aug 27, 2024; 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.