NPIMap

Organization Active NPI

Applegate Health Services of Tennessee, Inc.

Doing business as AppleGate Recovery Greeneville

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Greeneville, TN
National Provider Identifier
1821665225
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
APPLEGATE HEALTH SERVICES OF TENNESSEE, INC.
Doing business as
AppleGate Recovery Greeneville
Practice address
520 Justis Dr
Greeneville, TN 37745-4287
Phone
(423) 972-4644
Fax
(423) 525-5743
NPI assigned
Jun 5, 2021
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Bruce Jarvie
Title
VP, Treasurer
Phone
(214) 379-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

520 Justis Dr
Greeneville, TN 37745-4287

Mailing address

1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Phone (214) 379-3300

Other names 1

  • AppleGate Recovery Greeneville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Applegate Health Services of Tennessee Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1622851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1821665225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LAKEPOINTE DR STE 117",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576425",
            "telephone_number": "214-379-3300",
            "fax_number": "214-853-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 JUSTIS DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454287",
            "telephone_number": "423-972-4644",
            "fax_number": "423-525-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEGATE HEALTH SERVICES OF TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-05",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "214-379-3300"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AppleGate Recovery Greeneville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AppleGate Recovery Greeneville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.