Helen R Tucker Adult Development Center,Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

L000000014226 Issued in TN

Legal business name

HELEN R TUCKER ADULT DEVELOPMENT CENTER,INC

Practice address

2660 Highway 51 N
Ripley, TN 38063-8114

Phone

(731) 635-4290

Fax

(731) 635-8975

NPI assigned

Mar 22, 2016

Last updated

Mar 22, 2016By 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

Suzanne Elizabeth Wieber

Title

Executive Director

Phone

(731) 635-4290

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1760844559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380630648",
            "telephone_number": "731-635-4290",
            "fax_number": "731-635-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 HIGHWAY 51 N",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380638114",
            "telephone_number": "731-635-4290",
            "fax_number": "731-635-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELEN R TUCKER ADULT DEVELOPMENT CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "WIEBER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "731-635-4290"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "L000000014226",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000014226",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018327",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Ripley, TN
• Providers in Ripley, 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 Mar 22, 2016; 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.