Outstanding Support Services Of Tn, NPI 1770161226
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Memphis, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1770161226 |
| NPI Entity Type | Organization |
| Provider Name | Outstanding Support Services Of Tn |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 3905 Wildleaf Dr, Memphis, TN, US |
| Provider Mailing Address | 3905 Wildleaf Dr, Memphis, TN, US, 381165516 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MA Angelique Vatoco Dilworth |
| Official Position | CHIEF EXECUTIVE OFFICER |
| Phone | 901-453-8838 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Classification |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Group | |
| Description | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| CONNECT | [email protected] | [email protected] | DIRECT | CSV | No | 3905 Wildleaf Dr, Memphis, TN, US |
| DIRECT | [email protected] | e-mail address | DIRECT | CSV | No | 3905 Wildleaf Dr, Memphis, TN, US |
| DIRECT | [email protected] | HIE | CSV | No | 3905 Wildleaf Dr, Memphis, TN, US |
Other Providers in TN, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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MRS. RN Emily Rae Johnson Individual |
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PHARMD Rebecca Brittany Clegg Individual |
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MD Shalacia Palmer Leblanc Individual |
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DR. DNP, CRNA Mark Timothy Cresap Individual |
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CCC-SLP Azjah Watson Individual |
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MS. DNP Ala'a Mitoubsi Individual |
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NEMT Olivia Williams Individual |
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Megan Nichole Trujillo Individual |
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M.D. David D. Buckman Individual |
2320 Wilma Rudolph Blvd. |
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Ashley Myers Individual |
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Jessica Gomez Individual |
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Park Center Organization |
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DR. M.D. Melissa Lynn Mckittrick Individual |
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FNP-BC Misty Renee Nichols Individual |
2216 Rainbow Ln |
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MD Douglas Todd Cannon Individual |
8000 Centerview Pkwy Suite 500 |
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Dovamed Medical Organization |
545 Mainstream Dr Ste 102 |
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|
Taylor Woods Individual |
6019 Walnut Grove Rd |
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|
MRS. PA-C Brittany C Smith Individual |
1265 Union Ave |
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