NPIMap

Organization Active NPI

Michael Dunn Center

  • Intellectual Disabilities Intermediate Care Facility
  • Rockwood, TN
National Provider Identifier
1639522808
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
L000000014778 Issued in TN
Legal business name
MICHAEL DUNN CENTER
Practice address
313 Michael Dunn Dr
Rockwood, TN 37854-4519
Phone
(865) 376-3416
Fax
(865) 376-3532
NPI assigned
Jul 22, 2016
Last updated
Oct 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Mr. Mike L. McElhinney
Title
President/Ceo
Phone
(865) 376-3416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X L000000014778 TN Primary

Addresses

Primary practice location

313 Michael Dunn Dr
Rockwood, TN 37854-4519

Mailing address

629 Gallaher Rd
Kingston, TN 37763-4215
Phone (865) 376-3416

Other identifiers 1

IdentifierTypeStateIssuer
103G705293OtherMEDICARE PTAN

Other names 1

  • LaCroix Home Other name

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 1639522808. Details of each certification follow.

  • CCN 44G180 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 44G180

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
MICHAEL DUNN CENTER-LACROIX HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 20, 2016
Last certification
May 30, 2025
Beds
4
Ownership / control type
Private (non-profit)
Facility address
313 Michael Dunn Drive
Rockwood, TN 37854

National Provider Directory

National Provider Directory
Tax ID family
Michael Dunn Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1639522808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 GALLAHER RD",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377634215",
            "telephone_number": "865-376-3416",
            "fax_number": "865-376-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MICHAEL DUNN DR",
            "city": "ROCKWOOD",
            "state": "TN",
            "postal_code": "378544519",
            "telephone_number": "865-376-3416",
            "fax_number": "865-376-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DUNN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "MCELHINNEY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "865-376-3416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TN",
            "license": "L000000014778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103G705293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaCroix Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockwood, TN

Sources for this page

Verify at the official NPI Registry.