Tennessee Recovery Clinic LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

TENNESSEE RECOVERY CLINIC LLC

Practice address

99 White Bridge Pike Ste 201
Nashville, TN 37205-1450

Phone

(615) 600-5964

Fax

(615) 600-5978

NPI assigned

Jan 9, 2020

Organization subpart

No

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

Authorized official

Name

Kimberly Paige Morrison

Title

Director of Clinical Compliance

Phone

(512) 731-4105

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Tennessee Recovery Clinic LLC2 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.

• Tennessee Recovery Clinic LLC

  • Substance Abuse Rehabilitation Facility
  • Madison, TN
  • NPI 1316542012
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Tennessee Recovery Clinic LLC

  • Substance Abuse Rehabilitation Facility
  • Madison, TN
  • NPI 1316542012
  NPPES parent name

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1629618483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 NEIGHBORLY AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WHITE BRIDGE PIKE STE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051450",
            "telephone_number": "615-600-5964",
            "fax_number": "615-600-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE RECOVERY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL COMPLIANCE",
        "authorized_official_telephone_number": "512-731-4105"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN.",
            "identifier": "I000000025689",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "URL",
            "address_1": "131 Edenwold Rd",
            "city": "Madison",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371152428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Nashville, TN
• Providers in Nashville, TN by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.