Restoration House Ministries

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RESTORATION HOUSE MINISTRIES

Practice address

154 Lee Greenwood Way
Kodak, TN 37764-2169

Phone

(865) 352-1274

NPI assigned

Oct 12, 2024

Last updated

Nov 27, 2024By 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

Matthew Terry JohnsonNPI 1467179929

Title

Ceo

Phone

(865) 805-0567

Specialties & licenses 1

Addresses

Tax ID family

Restoration House Ministries2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Restoration House Ministries

  • Substance Abuse Rehabilitation Facility
  • Sevierville, TN
  • NPI 1134069123
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Johnson, M.A., M.DIV

  • Addiction (Substance Use Disorder) Counselor
  • Kodak, TN
  • NPI 1467179929
  Authorized official Same address or phone

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

{
    "created_epoch": "1728691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1609696905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378220367",
            "fax_number": "423-205-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 LEE GREENWOOD WAY",
            "city": "KODAK",
            "state": "TN",
            "postal_code": "377642169",
            "telephone_number": "865-352-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION HOUSE MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-12",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-805-0567"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Medical Services PLLC
• Nationalrx, Inc
• Saman Perera
• Precious Metals L.LC.
• Premier Care Medical
• Restoration House Ministries
• Joseph Roberto, DDS
• Svetlana Rowland, FNP-BC
• Noelan Schafer
• Deborah Clay Sellers-Mooney, FNP-BC

• Substance Use Disorder Rehabilitation Clinic/Center in Kodak, TN
• Providers in Kodak, TN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Tennessee

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