NPIMap

Organization Active NPI

West Tennessee Community Homes

  • Intellectual Disabilities Intermediate Care Facility
  • Arlington, TN
National Provider Identifier
1568834802
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
L000000013839 Issued in TN
Legal business name
WEST TENNESSEE COMMUNITY HOMES
Practice address
11005 Highway 70
Arlington, TN 38002
Phone
(901) 867-2165
Fax
(901) 867-3388
NPI assigned
Oct 27, 2015
Last updated
Oct 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Mrs. Lisa Guy
Title
Director, West Tennessee Homes
Phone
(901) 745-7193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X L000000013839 TN Primary

Addresses

Primary practice location

11005 Highway 70
Arlington, TN 38002

Mailing address

P.O. Box 949
11437 Milton Wilson Road
Arlington, TN 38002
Phone (901) 745-7193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568834802. Details of each certification follow.

  • CCN 44G152 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 44G152

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WEST TN COMMUNITY ICF/MR HOMES #12
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 23, 2011
Last certification
Apr 24, 2025
Beds
4
Ownership / control type
State
Facility address
11005 Highway 70
Arlington, TN 38002

National Provider Directory

National Provider Directory
Tax ID family
West Tennessee Community Homes12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11005 Highway 70
Arlington, TN 38002
Phone (901) 867-2165

11437 Milton Wilson Rd
Arlington, TN 38002
Phone (901) 745-7509

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1568834802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 949",
            "address_2": "11437 MILTON WILSON ROAD",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "38002",
            "telephone_number": "901-745-7193",
            "fax_number": "901-745-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 HIGHWAY 70",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "38002",
            "telephone_number": "901-867-2165",
            "fax_number": "901-867-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TENNESSEE COMMUNITY HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR, WEST TENNESSEE HOMES",
        "authorized_official_telephone_number": "901-745-7193",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TN",
            "license": "L000000013839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TN

Sources for this page

Verify at the official NPI Registry.