NPIMap

Organization Active NPI

Middle Tennessee Homes

  • Intellectual Disabilities Intermediate Care Facility
  • Donelson, TN
National Provider Identifier
1588045199
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MIDDLE TENNESSEE HOMES
Practice address
2410 Wilford Drive
Donelson, TN 37214
Phone
(615) 231-5373
Fax
(615) 231-5074
NPI assigned
Jun 10, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Jama McCroskey Phillips, BS
Title
Middle Tennessee Homes Director
Phone
(615) 231-5373

Corporate family (same tax ID) 24

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

National Provider Directory

National Provider Directory
Tax ID family
Trousdale County Health (202 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2410 Wilford Drive
Donelson, TN 37214

Mailing address

400 Deadrick Street
Citizens Plaza Suite 900
Nashville, TN 37243
Phone (615) 231-5373

Other identifiers 6

NPPES NPI Registry
IdentifierTypeStateIssuer
7447188MedicaidTN
7447184MedicaidTN
7447185MedicaidTN
7447187MedicaidTN
7447010MedicaidTN
7447186MedicaidTN

Other names 1

NPPES NPI Registry
  • Wilford Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2015.

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1588045199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DEADRICK STREET",
            "address_2": "CITIZENS PLAZA SUITE 900",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37243",
            "telephone_number": "615-231-5373",
            "fax_number": "615-231-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 WILFORD DRIVE",
            "city": "DONELSON",
            "state": "TN",
            "postal_code": "37214",
            "telephone_number": "615-231-5373",
            "fax_number": "615-231-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JAMA",
        "authorized_official_middle_name": "MCCROSKEY",
        "authorized_official_title_or_position": "MIDDLE TENNESSEE HOMES DIRECTOR",
        "authorized_official_telephone_number": "615-231-5373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7447188",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7447184",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7447185",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7447187",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7447010",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7447186",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilford",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Donelson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.