Washington County Community Residential Services, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

L3324M60861502 Issued in TN

Legal business name

WASHINGTON COUNTY COMMUNITY RESIDENTIAL SERVICES, INC.

Doing business as

Core Services of Northeast Tennessee

Practice address

215 University Pkwy
Johnson City, TN 37604-7339

Phone

(239) 282-7524

Fax

(423) 928-3680

NPI assigned

Feb 1, 2007

Last updated

Nov 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Susan Arwood

Title

Executive Director

Phone

(423) 552-4835

Specialties & licenses 1

Addresses

Other names 1

• Core Services of Northeast Tennessee Doing business as

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1699813907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 UNIVERSITY PKWY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047339",
            "telephone_number": "239-282-7524",
            "fax_number": "423-928-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 UNIVERSITY PKWY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047339",
            "telephone_number": "239-282-7524",
            "fax_number": "423-928-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY COMMUNITY RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "ARWOOD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "423-552-4835",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "L3324M60861502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Services of Northeast Tennessee",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Core Services of Northeast Tennessee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isaiah Ware, MD
• Tara Morgan Warf, DPT
• Steven Warner
• Ambreen Adil Warsy, MD
• Abdul Wasay, MD
• Washington County Health Department
• Washington County-Johnson City Emergency Medical Services Inc
• William M Wason, MD
• Watauga Orthopaedics PLC
• Watauga Pathology Associates PC

• Developmentally Disabled Services Day Training Agency in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Developmentally Disabled Services Day Training Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.