Centerstone

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CENTERSTONE

Practice address

7308 Smokey Hill Rd
Cane Ridge, TN 37013-6803

Phone

(615) 206-7875

Fax

(615) 206-7875

NPI assigned

Mar 15, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Roderick Marquez Jesz

Title

Crisis Care Consultant

Phone

(615) 463-6600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1699040253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 SMOKEY HILL RD",
            "city": "CANE RIDGE",
            "state": "TN",
            "postal_code": "370136803",
            "telephone_number": "615-206-7875",
            "fax_number": "615-206-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7308 SMOKEY HILL RD",
            "city": "CANE RIDGE",
            "state": "TN",
            "postal_code": "370136803",
            "telephone_number": "615-206-7875",
            "fax_number": "615-206-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERSTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "JESZ",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "MARQUEZ",
        "authorized_official_title_or_position": "CRISIS CARE CONSULTANT",
        "authorized_official_telephone_number": "615-463-6600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Cane Ridge, TN
• Providers in Cane Ridge, TN by specialty
• Mental Illness Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.