Department Of Intellectual And Developmental Disabilities
LBN: State Of Tennessee
Department Of Intellectual And Developmental Disabilities is an health care organization with primary practice located at 2105 Susong Rd , Greeneville TN 37743-4944. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded. Agencies / Home Health is the primary health care specialty.
State Of Tennessee can be contacted via phone (423) 787-0659, or through Comm, David via phone (629) 267-8103.
Contact Information
Primary practice address
2105 Susong Rd
Greeneville TN 37743-4944
Phone: (423) 787-0659
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | ||
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X | I000000010131 | Tennessee |
Profile Details
| NPI number | 1285905976 |
|---|---|
| LBN Legal business name | State Of Tennessee |
| DBA Doing business as | Department Of Intellectual And Developmental Disabilities |
| Authorized official | Comm, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 26th, 2012 |
| Last updated | Jul 5th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285905976 | NPPES |
| Tennessee | MEDICAID | 7447172 |
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State Of Tennessee
2107 Susong Rd , Greeneville TN 37743-4944