Active NPI
Detox West Tennessee LLC
Doing business as Brentwood Springs Detox
- Substance Abuse Rehabilitation Facility
- Jackson, TN
National Provider Identifier
1720694193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 971960 | Other | TN | DOB |
Other names 1
- Brentwood Springs Detox
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@brentwoodspringsdetox.com | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2305465 | Detox West Tennessee | Certificate of waiver | May 30, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.