Organization Active NPI

Tulip Hill Recovery of Jackson

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Jackson, TN
National Provider Identifier
1770153769
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
TULIP HILL RECOVERY OF JACKSON
Practice address
228 W Baltimore St
Jackson, TN 38301-6136
Phone
(615) 892-0838
NPI assigned
Jun 30, 2021
Last updated
Nov 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Benjamin Tyler Jones, MSNPI 1780126565
Title
Ceo
Phone
(615) 892-0838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

228 W Baltimore St
Jackson, TN 38301-6136

Mailing address

228 W Baltimore St
Jackson, TN 38301-6136
Phone (615) 892-0838

National Provider Directory

National Provider Directory

Locations

228 W Baltimore St
Jackson, TN 38301
Phone (615) 892-0838

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1770153769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W BALTIMORE ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016136",
            "telephone_number": "615-892-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W BALTIMORE ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016136",
            "telephone_number": "615-892-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULIP HILL RECOVERY OF JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-892-0838",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 4, 2021; 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.