O'Brien in Greeneville - Intermediate Care Facility, Intellectual Disabilities
O'Brien - NPI 1679736623
O'Brien is a Intermediate Care Facility, Intellectual Disabilities in Greeneville, Tennessee. O'Brien practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for O'Brien is 1679736623. The last update date is 2020-11-20.
O'Brien's current location address is 100 Pennsylvania Ave, Greeneville, Tennessee. You can contact this provider via phone number 4236383926 and fax number 4236381105. The mailing address for O'Brien is 100 Pennsylvania Ave, Greeneville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | O'Brien |
|---|---|
| Address | 100 Pennsylvania Ave, Greeneville, Tennessee |
| Phone Number | 4236383926 |
| Fax Number | 4236381105 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Thomas Cathy |
| Telephone Number | 4236383926 |
NPI Number Detail
| NPI Number | 1679736623 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2020-11-20 |
Provider Mailing Address Detail
| Address | 100 Pennsylvania Ave |
|---|---|
| City | Greeneville |
| State | Tennessee (TN) |
| Post Code | 377434624 |
| Phone Number | 4236383926 |
| Fax Number | 4236381105 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | L00000001502 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7447102 | TN | ICF-MR |
Post Comment/ Review Below
What is the O'Brien's unique identification number?
The O'Brien has been assigned the NPI (National Provider Identifier) Number 1679736623 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where O'Brien is physically located?
The O'Brien is situated at the following address: 100 Pennsylvania Ave, Greeneville, TN 377434624.
What is O'Brien's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The O'Brien's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679736623 to O'Brien?
The Centers for Medicare & Medicaid Services assigned the 1679736623 to O'Brien on 2008-07-09.
When was the information regarding O'Brien most recently updated?
The details pertaining to the O'Brien, including its address, specialty, and other relevant information, were last refreshed on 2020-11-20.