St. John's Community Services

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

L3(20)4M3-056-6214 Issued in TN

Legal business name

ST. JOHN'S COMMUNITY SERVICES

Practice address

7891 Stage Hills Blvd
Suite 116
Bartlett, TN 38133-4052

Phone

(901) 384-3645

Fax

(901) 385-9450

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Julia Bratcher

Title

State Director

Phone

(901) 384-3645

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710008628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7891 STAGE HILLS BLVD",
            "address_2": "SUITE 116",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334052",
            "telephone_number": "901-384-3645",
            "fax_number": "901-385-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7891 STAGE HILLS BLVD",
            "address_2": "SUITE 116",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334052",
            "telephone_number": "901-384-3645",
            "fax_number": "901-385-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRATCHER",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "STATE DIRECTOR",
        "authorized_official_telephone_number": "901-384-3645",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TN",
            "license": "L3(20)4M3-056-6214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Point of Service in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.