NPIMap

Organization Active NPI

La Paloma Treatment Center, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Memphis, TN
National Provider Identifier
1689674368
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
L000000010053 Issued in TN
Legal business name
LA PALOMA TREATMENT CENTER, LLC
Practice address
2009 Lamar Avenue
Memphis, TN 38114-2138
Phone
(615) 345-3217
Fax
(615) 373-4656
NPI assigned
Jul 26, 2005
Organization subpart
No

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X I 2(14)M2-077-9751 TN
Adult Mental Health Clinic/Center 261QM0850X L 2(14)M3-017-6472 TN
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 0000000109 TN
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 0000000032 TN
Mental Illness Community Based Residential Treatment Facility 320800000X L000000010053 TN Primary
Psychiatric Residential Treatment Facility 323P00000X L 217-017-6471 TN
Substance Abuse Rehabilitation Facility 324500000X 0000000109 TN

Addresses

Primary practice location

2009 Lamar Avenue
Memphis, TN 38114-2138

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
3105734OtherTNBCBST PROVIDER ID

National Provider Directory

National Provider Directory
Tax ID family
La Paloma Treatment Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1689674368",
    "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": "2009 LAMAR AVENUE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381142138",
            "telephone_number": "615-345-3217",
            "fax_number": "615-373-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PALOMA TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "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": "I 2(14)M2-077-9751",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TN",
            "license": "L 2(14)M3-017-6472",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TN",
            "license": "0000000109",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TN",
            "license": "0000000032",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TN",
            "license": "L000000010053",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "TN",
            "license": "L 217-017-6471",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": "0000000109",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST PROVIDER ID",
            "identifier": "3105734",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.