Organization · Type 2 NPI

Tulip Grove Road #1

Intellectual Disabilities Intermediate Care Facility · Nashville, TN

NPI number 1780014514 Active

Practice location

869 Tulip Grove Rd
Nashville, TN 37076

Call (615) 231-5000 Map

Fax (615) 231-5074

Mailing address

275 Stewarts Ferry Pike
Nashville, TN 37214-3325

Specialties and licenses

Taxonomy	Code	License
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	L00000001184 (TN)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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NPI record

NPI: 1780014514
Entity type: Organization (Type 2)
Issued: Nov 14, 2013
Last updated: Nov 14, 2013
Status: Active
Subpart: Yes of Clover Bottom Developmental Center

Other names

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Middle Tennessee Homes · doing business as

Authorized official

Dr. Stacey Lynn Dixon, PhD
Chief Officer
(615) 231-5373

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780014514

Tulip Grove Road #1's National Provider Identifier is 1780014514, issued on Nov 14, 2013. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Nashville, TN. The record was last updated on Nov 14, 2013.