NPIMap

Organization Active NPI

Cedar Recovery Center of Middle Tennessee, LLC

  • Substance Abuse Rehabilitation Facility
  • Lebanon, TN
National Provider Identifier
1750038386
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE, LLC
Practice address
1405 W Baddour Pkwy Ste 101
Lebanon, TN 37087-2595
Phone
(615) 994-1288
Fax
(615) 547-4520
NPI assigned
Mar 3, 2022
Last updated
Mar 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Joseph Bond
Title
Chief Executive Officer
Phone
(615) 680-0110

Specialties & licenses 1

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

Addresses

Primary practice location

1405 W Baddour Pkwy Ste 101
Lebanon, TN 37087-2595

Mailing address

5000 Crossings Cir Ste 103
Mount Juliet, TN 37122-8591
Phone (615) 288-1103

National Provider Directory

National Provider Directory
Tax ID family
Cedar Recovery of Middle Tennessee LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1750038386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CROSSINGS CIR STE 103",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228591",
            "telephone_number": "615-288-1103",
            "fax_number": "615-549-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W BADDOUR PKWY STE 101",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872595",
            "telephone_number": "615-994-1288",
            "fax_number": "615-547-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "615-680-0110"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.