Green Valley Developmental Center

LBN: State Of Tennessee, Greene Valley Developmental Center
Green Valley Developmental Center is an health care organization with primary practice located at 4850 E Andrew Johnson Hwy , Greeneville TN 37745-3098. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. State Of Tennessee, Greene Valley Developmental Center can be contacted via phone (423) 787-6800, or through Love, Stephen C. via phone (423) 787-6572.

Contact Information

Primary practice address
4850 E Andrew Johnson Hwy Greeneville TN 37745-3098
Fax: (423) 787-6975
Website:
Authorized official contact:
Name: Love, Stephen C.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X L 323-106-1620 Tennessee

Profile Details

NPI number 1447399837
LBN Legal business name State Of Tennessee, Greene Valley Developmental Center
DBA Doing business as Green Valley Developmental Center
Authorized official Love, Stephen C.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 30th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447399837 NPPES
Tennessee MEDICAID 744-7014

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