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:
Map and Directions
Authorized official contact:
Name: Comm, David
Phone: (629) 267-8103

Health care specialties

SpecialtyCodeLicense #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 last year

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 1285905976 NPPES
Tennessee MEDICAID 7447172

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