FREE WILL BAPTIST FAMILY MINISTRIES, INC. (NPI# 1023394186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023394186 |
| Entity Type | Organization |
| Organization Name | FREE WILL BAPTIST FAMILY MINISTRIES, INC. |
| Practice Address |
90 Stanley Ln Greeneville TN 37743-6066 |
| Practice Telephone | 4236399449 |
| Practice Fax Number | 4236395083 |
| Mailing Telephone | 4236399449 |
| Mailing Fax Number | 4236395083 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |
| Authorized Official Name | DR. JAMES HAROLD KILGORE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4236399449 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
L000000007820 | TN | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | SO10855A | TN | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538269915 | Free Will Baptist Family Ministries, Inc. | Community Based Residential Treatment Facility, Mental Illness | 15149 Old Jonesboro Road, Bristol, VA 24202-4623 | 2006-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Free Will Baptist Family Ministries, Inc. | 90 Stanley Lane , Greenville, TN 37743 |
| Virginia Business Entity | FREE WILL BAPTIST FAMILY MINISTRIES, INC. | 90 STANLEY LANE , GREENEVILLE, TN 37743 |
| Street Address |
90 STANLEY LN |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37743-6066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336682830 | Trula Cronk Home for Children LLC | Substance Abuse Rehabilitation Facility | 90 Stanley Ln, Greeneville, TN 37743-6066 | 2016-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1205264058 | Robert Maddox | Social Worker | 421 5th Ave North, Employee Health Clinic, 2nd Floor Central Services Bldg, Nashville, TN 37743 | 2013-10-14 |
| 1336574326 | Cathy J Davis | Occupational Therapy Assistant | 910 West Summer Street, Greeneville, TN 37743 | 2013-09-09 |
| 1659614238 | Person Centered Choices, LLC | In Home Supportive Care | 615 W. Main St., Ste. 204, Greeneville, TN 37743 | 2013-04-01 |
| 1730449943 | Jenilee Stepp | Behavioral Analyst | 1007 West Main Suite B, Greenville, TN 37743 | 2012-05-22 |
| 1083971303 | Jessica Allison Mcafee | Registered Nurse | 401 Takoma Ave., Suite 1, Second Floor, Greeneville, TN 37743 | 2012-04-12 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1215200118 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2495 Buckingham Road, Greeneville, TN 37743 | 2012-02-23 |
| Find all providers in zip 37743 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1255821310 | Middle Tennessee Support Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 375 Uselton Road, Shelbyville, TN 37160 | 2018-05-15 |
| 1912435892 | Blessed Beyond Home Care | Community Based Residential Treatment Facility, Mental Illness | 640 Sunburst Dr, Mcminnville, TN 37110-3051 | 2017-05-23 |
| 1699202457 | Jelessa Lashae Crosby-powell | Community Based Residential Treatment Facility, Mental Illness | 2010 Tynewood Dr, Clarksville, TN 37042-5284 | 2017-05-11 |
| 1548793441 | Stonebridge Family Counseling | Community Based Residential Treatment Facility, Mental Illness | 209 Edison St E, Fayetteville, TN 37334-3007 | 2017-04-06 |
| 1679004253 | Solutionsretreat.org, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5405 Forest Acres Dr, Nashville, TN 37220-2100 | 2017-03-24 |
| 1346695194 | Manna Food 4 Life | Community Based Residential Treatment Facility, Mental Illness | 860 Tatum Rd, Memphis, TN 38122-2543 | 2016-04-29 |
| 1902260805 | Sharon Gilgenast | Community Based Residential Treatment Facility, Mental Illness | 1279 Cloverdale Dr, Clarksville, TN 37040-4714 | 2016-04-07 |
| 1942678222 | Biblical Concepts Group Homes | Community Based Residential Treatment Facility, Mental Illness | 1004 Louisville Hwy, Goodlettsville, TN 37072-1167 | 2015-09-03 |
| 1689040289 | Shemeka Lajuana Jenkins | Community Based Residential Treatment Facility, Mental Illness | 118 Union Stret, Clarksville, TN 37040 | 2015-08-18 |
| Find all providers with the same taxonomy | ||||
| City | GREENEVILLE |
| Zip Code | 37743 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.