Eagles Nest Mental Health Services Inc
LBN: Eagles Nest Mental Health Services Inc
Eagles Nest Mental Health Services Inc is an health care organization with primary practice located at 319 Plus Park Blvd Suite 201, Nashville TN 37217-1098. The organization recently has 6 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / In Home Supportive Care, 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, Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty.
Eagles Nest Mental Health Services Inc can be contacted via phone (615) 915-4074, or through Johnson, Thelma Willene via phone (615) 915-4074.
Contact Information
Primary practice address
319 Plus Park Blvd Suite 201
Nashville TN 37217-1098
Phone: (615) 915-4074
Fax: (615) 942-6392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | 7929 | Tennessee |
| Agencies / In Home Supportive Care | 253Z00000X | 7929 | Tennessee |
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 7929 | Tennessee |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 7929 | Tennessee |
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | 7929 | Tennessee |
| Respite Care Facility / Respite Care | 385H00000X | 7929 | Tennessee |
Profile Details
| NPI number | 1295007839 |
|---|---|
| LBN Legal business name | Eagles Nest Mental Health Services Inc |
| DBA Doing business as | |
| Authorized official | Johnson, Thelma Willene LPC-MHSP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 28th, 2012 |
| Last updated | Feb 1st, 2012 - about 12 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 | 1295007839 | NPPES |
| Tennessee | MEDICAID | H42 |
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