Greene Valley Developmental Center
LBN: State Of Tennessee Greene Valley Developmental Center
Greene 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) 787-6570, or through Simcox, Gary D via phone (423) 787-6570.
Contact Information
Primary practice address
4850 E Andrew Johnson Hwy
Greeneville TN 37745-3098
Phone: (423) 787-6570
Fax: (423) 787-6975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X | L3231061620 | Tennessee |
Profile Details
| NPI number | 1811159072 |
|---|---|
| LBN Legal business name | State Of Tennessee Greene Valley Developmental Center |
| DBA Doing business as | Greene Valley Developmental Center |
| Authorized official | Simcox, Gary D CPA CGFM |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 30th, 2008 |
| Last updated | Jun 30th, 2008 - about 16 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 | 1811159072 | NPPES |
| Tennessee | MEDICAID | 7447018 |
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