Kimmy's Cottage, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

KIMMY'S COTTAGE, INC.

Practice address

601 Manor View Cir
Brentwood, TN 37027-4366

Phone

(615) 750-3245

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By 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

Mr. Stephen Butler

Title

President

Phone

(615) 218-5158

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568580512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 DEVENS DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277214",
            "telephone_number": "615-373-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MANOR VIEW CIR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274366",
            "telephone_number": "615-750-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMMY'S COTTAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-218-5158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kies
• Sophia Grace Killett, PHYSICIAN ASSISTANT
• Shayna Rose Killian
• Ashley Kimball
• Owen Kimbrel
• Abigail King, CCC-SLP
• Gray King, DMD
• Janneza King
• Kelsia L King, MS, LBA, BCBA
• Lauren Hasty King, PSY.D.

• Intellectual Disabilities Intermediate Care Facility in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Intellectual Disabilities Intermediate Care Facility in Tennessee

• 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.