Clover Bottom Dev. Center

LBN: Clover Bottom Dev. Center
Clover Bottom Dev. Center is an health care organization with primary practice located at 275 Stewarts Ferry Pike , Nashville TN 37214-3325. 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. Clover Bottom Dev. Center can be contacted via phone (615) 231-5372, or through Harris, Levi via phone (615) 231-5372.

Contact Information

Primary practice address
275 Stewarts Ferry Pike Nashville TN 37214-3325
Phone: (615) 231-5372
Fax: (615) 231-5121
Website:
Map and Directions
Authorized official contact:
Name: Harris, Levi
Phone: (615) 231-5372

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X L 323-096-3521 Tennessee

Profile Details

NPI number 1285775874
LBN Legal business name Clover Bottom Dev. Center
DBA Doing business as
Authorized official Harris, Levi
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1285775874 NPPES
Tennessee MEDICAID 7447010
Tennessee Other 4414378

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