Evergreen Presbyterian Ministries Of Middle Tn in Nashville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Evergreen Presbyterian Ministries Of Middle Tn - NPI 1639297005

Evergreen Presbyterian Ministries Of Middle Tn is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Nashville, Tennessee. Evergreen Presbyterian Ministries Of Middle Tn practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Evergreen Presbyterian Ministries Of Middle Tn is 1639297005. The last update date is 2020-08-22.

Evergreen Presbyterian Ministries Of Middle Tn's current location address is 446 Metroplex Dr, Nashville, Tennessee. You can contact this provider via phone number 6158339500 and fax number 6158339010. The mailing address for Evergreen Presbyterian Ministries Of Middle Tn is 446 Metroplex Dr, Nashville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Evergreen Presbyterian Ministries Of Middle Tn
Address 446 Metroplex Dr, Nashville, Tennessee
Phone Number 6158339500
Fax Number 6158339010
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Taylor R John
Telephone Number 3187428440

NPI Number Detail

NPI Number 1639297005
Provider Enumeration Date 2007-03-26
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 446 Metroplex Dr
City Nashville
State Tennessee (TN)
Post Code 372113139
Phone Number 6158339500
Fax Number 6158339010

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
940 TN --

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FAQs about Evergreen Presbyterian Ministries Of Middle Tn

What is the unique identifier code issued to Evergreen Presbyterian Ministries Of Middle Tn by the Centers for Medicare & Medicaid Services?

The Evergreen Presbyterian Ministries Of Middle Tn has been assigned the NPI (National Provider Identifier) 1639297005. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Evergreen Presbyterian Ministries Of Middle Tn is physically located?

The Evergreen Presbyterian Ministries Of Middle Tn is physically situated at the following address: 446 Metroplex Dr, Nashville, TN, 372113139.

What is Evergreen Presbyterian Ministries Of Middle Tn's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Evergreen Presbyterian Ministries Of Middle Tn is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1639297005 to Evergreen Presbyterian Ministries Of Middle Tn?

The Evergreen Presbyterian Ministries Of Middle Tn received its 1639297005 assignment from the Centers for Medicare & Medicaid Services on 2007-03-26.

When was the information regarding Evergreen Presbyterian Ministries Of Middle Tn most recently updated?

The details pertaining to the Evergreen Presbyterian Ministries Of Middle Tn, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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