Organization Active NPI

La Paloma Treatment Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Memphis, TN
National Provider Identifier
1649529769
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1000000010578 Issued in TN
Legal business name
LA PALOMA TREATMENT CENTER, LLC
Practice address
1083 W Rex Rd
Ste 203
Memphis, TN 38119-3825
Phone
(615) 345-3200
Fax
(615) 373-4656
NPI assigned
Sep 5, 2012
Organization subpart
Yes
Parent organization
FOUNDATIONS RECOVERY NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Steve Filton
Title
Evp-Chief Financial Officer
Phone
(610) 382-3319

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1000000010578 TN
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1000000010578 TN Primary

Addresses

Primary practice location

1083 W Rex Rd
Ste 203
Memphis, TN 38119-3825

Mailing address

1000 Health Park Drive
Building Three, Suite 400
Brentwood, TN 37027
Phone (615) 386-7255

Other names 1

  • La Paloma Treatment Center, LLC IOP Other name

National Provider Directory

National Provider Directory
Tax ID family
La Paloma Treatment Center LLC3 organizations share this tax ID, including this one
Part of
Dual Diagnosis Management LLC Dba Palmsprings Serenity Retreat

Other organizations with this tax ID 2

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

Locations

1083 W Rex Rd
Ste 203
Memphis, TN 38119
Phone (615) 345-3200

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1649529769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HEALTH PARK DRIVE",
            "address_2": "BUILDING THREE, SUITE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-386-7255",
            "fax_number": "615-645-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 W REX RD",
            "address_2": "STE 203",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193825",
            "telephone_number": "615-345-3200",
            "fax_number": "615-373-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PALOMA TREATMENT CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATIONS RECOVERY NETWORK",
        "enumeration_date": "2012-09-05",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "EVP-CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-382-3319"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TN",
            "license": "1000000010578",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TN",
            "license": "1000000010578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Paloma Treatment Center, LLC IOP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "La Paloma Treatment Center, LLC IOP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.