NPIMap

Organization Active NPI

Tulip Grove Road #1

  • Intellectual Disabilities Intermediate Care Facility
  • Nashville, TN
National Provider Identifier
1780014514
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
L00000001184 Issued in TN
Legal business name
TULIP GROVE ROAD #1
Doing business as
Middle Tennessee Homes
Practice address
869 Tulip Grove Rd
Nashville, TN 37076
Phone
(615) 231-5000
Fax
(615) 231-5074
NPI assigned
Nov 14, 2013
Organization subpart
Yes
Parent organization
CLOVER BOTTOM DEVELOPMENTAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Dr. Stacey Lynn Dixon, PH.D.
Title
Chief Officer
Phone
(615) 231-5373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X L00000001184 TN Primary

Addresses

Primary practice location

869 Tulip Grove Rd
Nashville, TN 37076

Mailing address

275 Stewarts Ferry Pike
Nashville, TN 37214-3325
Phone (615) 231-5000

Other names 1

  • Middle Tennessee Homes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trousdale County Health202 organizations share this tax ID, including this one
Part of
Trousdale County Health

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1780014514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 STEWARTS FERRY PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143325",
            "telephone_number": "615-231-5000",
            "fax_number": "615-231-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 TULIP GROVE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37076",
            "telephone_number": "615-231-5000",
            "fax_number": "615-231-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULIP GROVE ROAD #1",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLOVER BOTTOM DEVELOPMENTAL CENTER",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF OFFICER",
        "authorized_official_telephone_number": "615-231-5373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TN",
            "license": "L00000001184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Tennessee Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.