Organization Active NPI

Lamont Ingram Developmental Organization for at-Risk Children

Doing business as Caring Hands Developmental Services

  • Substance Abuse Rehabilitation Facility
  • Jackson, TN
National Provider Identifier
1588973309
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LAMONT INGRAM DEVELOPMENTAL ORGANIZATION FOR AT-RISK CHILDREN
Doing business as
Caring Hands Developmental Services
New Beginnings Treatment Center
Practice address
95 Riverport Dr
Jackson, TN 38301-5748
Phone
(731) 736-1109
Fax
(731) 300-0259
NPI assigned
Sep 28, 2010
Last updated
Aug 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Robert Lamont Ingram
Title
Founder/President/Ceo
Phone
(731) 736-1109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

95 Riverport Dr
Jackson, TN 38301-5748

Mailing address

95 Riverport Dr
Jackson, TN 38301-5748
Phone (731) 736-1109

Other practice location 1

437 Riverside Dr
Jackson, TN 38301-5720
Phone (731) 736-1109

Other names 2

  • Caring Hands Developmental Services Doing business as
  • New Beginnings Treatment Center Doing business as

National Provider Directory

National Provider Directory

Locations

437 Riverside Dr
Jackson, TN 38301
Phone (731) 736-1109

95 Riverport Dr
Jackson, TN 38301
Phone (731) 298-4506

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1588973309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 RIVERPORT DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015748",
            "telephone_number": "731-736-1109",
            "fax_number": "731-300-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 RIVERPORT DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015748",
            "telephone_number": "731-736-1109",
            "fax_number": "731-300-0259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "437 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383015720",
            "country_code": "US",
            "telephone_number": "731-736-1109",
            "fax_number": "731-300-0259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAMONT INGRAM DEVELOPMENTAL ORGANIZATION FOR AT-RISK CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2024-08-06",
        "certification_date": "2021-11-25",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT/CEO",
        "authorized_official_telephone_number": "731-736-1109"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Hands Developmental Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Beginnings Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

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