NPIMap

Organization Active NPI

United Neighborhood Neighborhood Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Nashville, TN
National Provider Identifier
1871856906
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNITED NEIGHBORHOOD NEIGHBORHOOD HEALTH SERVICES, INC
Practice address
419 Welshwood Dr
Nashville, TN 37211-4206
Phone
(615) 227-3000
NPI assigned
Jun 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Brian Haile
Title
Ceo
Phone
(615) 227-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

419 Welshwood Dr
Nashville, TN 37211-4206

Mailing address

2711 Foster Avenue
Nashville, TN 37210-5307
Phone (615) 227-3000

Other practice location 1

395 Wallace Rd Bldg B
Nashville, TN 37211
Phone (615) 891-5265

Other names 2

  • Wallace Road Family Clinic Doing business as
  • Welshwood Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100916000433 TN Part A Provider - Federally Qualified Health Center (FQHC) 0042100091 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Nashville, TN

Federally qualified health center certification: CCN 441936

Legal name
UNITED NEIGHBORHOOD HEALTH SERVICES, INC
Doing business as
WELSHWOOD CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 16, 2010
Last certification
Sep 16, 2010
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 31, 1978 in TN
Enrollment address
419 Welshwood Dr
Nashville, TN 37211-4206

Federally qualified health center certification: CCN 441892

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PRO HEALTH NASHVILLE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 18, 2004
Last certification
Nov 18, 2004
Ownership / control type
For profit – partnership
Facility address
395 Wallace Road B-100
Nashville, TN 37211

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
United Neighborhood Healt13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John-David Thomas Individual OtherBoard Member Jan 1, 2019
Brian Haile Individual Corporate OfficerCeo Oct 1, 2017
Barb Zipperian Individual Corporate DirectorVice-President Jan 1, 2019
John E Baldwin Individual OtherBoard Member Jan 1, 2022
John Zirker Individual OtherBoard Member Jan 1, 2020
Ashia Cooper-Colquitt Individual Corporate DirectorTreasurer Jan 1, 2022
Amanda Lowe Individual OtherBoard Member Jan 1, 2018
Riley Macdonald Individual OtherBoard Member Jan 1, 2020
Angela Ballou Individual Corporate DirectorSecretary Jan 1, 2015
Brian Marshall Individual OtherBoard Member Jan 1, 2020
Brenda Morrow Individual Corporate Director Aug 1, 2011
Nicholas Scudellari Individual OtherBoard Member Jan 1, 2022
James Comer Individual Corporate DirectorBoard Member Jan 1, 2014
Luis Sura Individual Corporate DirectorSecretary Jan 1, 2020
Ivan Figueredo Individual Corporate OfficerCfo Jun 4, 2012
W-2 Managing EmployeeCfo Jun 4, 2012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1871856906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 FOSTER AVENUE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372105307",
            "telephone_number": "615-227-3000",
            "fax_number": "616-515-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WELSHWOOD DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114206",
            "telephone_number": "615-227-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 Wallace Rd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37211",
            "country_code": "US",
            "telephone_number": "615-891-5265",
            "fax_number": "615-445-7815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED NEIGHBORHOOD NEIGHBORHOOD HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "HAILE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-227-3000"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallace Road Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wallace Road Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Welshwood Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.