Omni Support Solutions

LBN: Cg Of Tennessee, Llc
Omni Support Solutions is an health care organization with primary practice located at 301 S Perimeter Park Dr , Nashville TN 37211-4143. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Cg Of Tennessee, Llc can be contacted via phone (615) 832-5454, or through Lashley, Mark via phone (817) 447-2700.

Contact Information

Primary practice address
301 S Perimeter Park Dr Nashville TN 37211-4143
Phone: (615) 832-5454
Fax: (615) 837-5772
Website:
Map and Directions
Authorized official contact:
Name: Lashley, Mark
Phone: (817) 447-2700

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X PENDING Tennessee

Profile Details

NPI number 1306364054
LBN Legal business name Cg Of Tennessee, Llc
DBA Doing business as Omni Support Solutions
Authorized official Lashley, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2017
Last updated Aug 18th, 2020 - about 5 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 1306364054 NPPES
Tennessee MEDICAID PENDING

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