Organization Active NPI

True Purpose Ministries

  • Substance Abuse Rehabilitation Facility
  • Maryville, TN
National Provider Identifier
1679017032
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
I000000018931 Issued in TN
Legal business name
TRUE PURPOSE MINISTRIES
Practice address
2628 Morganton Rd
Maryville, TN 37801-8445
Phone
(865) 681-4861
Fax
(877) 852-8324
NPI assigned
Dec 5, 2016
Last updated
Oct 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Jeremy Graham
Title
President
Phone
(865) 681-4861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X I000000018931 TN Primary

Addresses

Primary practice location

2628 Morganton Rd
Maryville, TN 37801-8445

Mailing address

2628 Morganton Rd
Maryville, TN 37801-8445
Phone (865) 681-4861

Other practice location 1

255 Wayman Rd
Madisonville, TN 37354-6406
Phone (615) 477-0345

Other identifiers 1

IdentifierTypeStateIssuer
I000000018931OtherTNSTATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES

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 1679017032. Details of each certification follow.

  • CCN 444548 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 444548

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
TRUE PURPOSE MINISTRIES
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Oct 9, 2024
Last certification
Oct 9, 2024
Ownership / control type
Other
Facility address
2628 Morganton Rd
Maryville, TN 37801

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2130472True Purpose Ministries2628 Morganton Road, Maryville, TN 37801Certificate of waiverMay 8, 2027

National Provider Directory

National Provider Directory

Locations

2628 Morganton Rd
Maryville, TN 37801
Phone (865) 681-4861

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1679017032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 MORGANTON RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378018445",
            "telephone_number": "865-681-4861",
            "fax_number": "877-852-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 MORGANTON RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378018445",
            "telephone_number": "865-681-4861",
            "fax_number": "877-852-8324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Wayman Rd",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "TN",
            "postal_code": "373546406",
            "country_code": "US",
            "telephone_number": "615-477-0345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRUE PURPOSE MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-681-4861"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": "I000000018931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES",
            "identifier": "I000000018931",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.