Organization Active NPI

Detox West Tennessee LLC

Doing business as Brentwood Springs Detox

  • Substance Abuse Rehabilitation Facility
  • Jackson, TN
National Provider Identifier
1720694193
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
DETOX WEST TENNESSEE LLC
Doing business as
Brentwood Springs Detox
Practice address
370 N Cumberland St
Jackson, TN 38301-5470
Phone
(615) 969-8612
NPI assigned
Sep 21, 2020
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Mr. Ron Pruitt
Title
Ceo
Phone
(615) 400-5005

Specialties & licenses 1

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

Addresses

Primary practice location

370 N Cumberland St
Jackson, TN 38301-5470

Mailing address

370 N Cumberland St
Jackson, TN 38301-5470

Other identifiers 1

IdentifierTypeStateIssuer
971960OtherTNDOB

Other names 1

  • Brentwood Springs Detox Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@brentwoodspringsdetox.com Direct

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
44D2305465Detox West Tennessee370 North Cumberland St, Jackson, TN 38301Certificate of waiverMay 30, 2028

National Provider Directory

National Provider Directory

Locations

370 N Cumberland St
Jackson, TN 38301
Phone (615) 969-8612

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1720694193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N CUMBERLAND ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N CUMBERLAND ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015470",
            "telephone_number": "615-969-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETOX WEST TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-400-5005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOB",
            "identifier": "971960",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@brentwoodspringsdetox.com",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "370 N Cumberland St",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383015470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brentwood Springs Detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.