Greene Valley Developmental Center

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

165098 Issued in TN

Legal business name

GREENE VALLEY DEVELOPMENTAL CENTER

Practice address

4850 E Andrew Johnson Hwy
Greeneville, TN 37745-3098

Phone

(423) 787-6800

NPI assigned

Aug 17, 2012

Last updated

Aug 17, 2012By 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

David Greineder, RN

Title

Director of Nursing

Phone

(423) 787-6663

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1881942084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377440910",
            "telephone_number": "423-787-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 E ANDREW JOHNSON HWY",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453098",
            "telephone_number": "423-787-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE VALLEY DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "GREINEDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "423-787-6663",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TN",
            "license": "165098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greene County Greeneville Emergency Medical Services
• Greene County Health Department
• Greene County Health Department
• Greene County School System
• Greene County Skills, Inc.
• Greene Valley Developmental Center Pharmacy
• Christie L Greene, LCSW-A
• Greeneville Anesthesia Services
• Greeneville Chiropractic Inc
• Greeneville Chiropractic Inc

• Exclusive Provider Organization in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Exclusive Provider Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.