WAYNE HALFWAY HOUSE INC. (NPI# 1174818702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174818702 |
| Entity Type | Organization |
| Organization Name | WAYNE HALFWAY HOUSE INC. |
| Practice Address |
942 Andrew Jackson Dr Waynesboro TN 38485-2360 |
| Practice Telephone | 9317223272 |
| Practice Fax Number | 9317227428 |
| Mailing Telephone | 9317223272 |
| Mailing Fax Number | 9317227428 |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | MR. JASON SCOTT CREWS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9317222435 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | SO/10648A | TN | Residential Treatment Facilities |
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q019954 | 05 |
| Street Address |
942 ANDREW JACKSON DR |
| City | WAYNESBORO |
| State | TN |
| Zip Code | 38485-2360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583071 | Ted R Graves | Counselor | 942 Andrew Jackson Dr, Waynesboro, TN 38485-2360 | 2018-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760903066 | Wayne Provision | Community/Behavioral Health | 950 Andrew Jackson Drive, Waynesboro, TN 38485 | 2017-06-28 |
| 1407387772 | Nelda Prater | Counselor | 942 Andrew Jackson Dr., Waynesboro, TN 38485 | 2017-03-27 |
| 1427479328 | Tennessee Pain Management Associates | Pain Medicine | 530 Us Hwy 64, Suite 5, Waynesboro, TN 38485 | 2013-12-18 |
| 1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
| 1316371222 | Wes Yeiser Donaldson | Physical Therapy Assistant | 183 Long Vue, Waynesboro, TN 38485 | 2013-08-27 |
| 1407096829 | Brian Paul Coggins | Physical Therapist | 514 South High St, Waynesboro, TN 38485 | 2009-02-25 |
| 1467691600 | At Home Meds, LLC | Durable Medical Equipment & Medical Supplies | 1126 B Collinwood Highway, Waynesboro, TN 38485 | 2009-02-11 |
| 1730375908 | Best Medical Inc. | Durable Medical Equipment & Medical Supplies | 905 Andrew Jackson Drive, Suite C, Waynesboro, TN 38485 | 2007-09-20 |
| 1295933661 | Air Evac Ems Inc. | Ambulance | 915 Andrew Jackson Drive, Waynesboro, TN 38485 | 2007-07-06 |
| 1871650895 | Mrh Dba Wmc | Nursing Facility/Intermediate Care Facility | 505 South High Street, Waynesboro, TN 38485 | 2007-01-02 |
| Find all providers in zip 38485 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
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| 1225645674 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 5842 Highway 30, Benton, TN 37307-4734 | 2020-09-29 |
| 1053966747 | Youth Villages, Inc | Psychiatric Residential Treatment Facility | 7428 Memphis-arlington Rd, Memphis, TN 38135-3813 | 2019-08-08 |
| 1679127971 | Youth Villages, Inc. | Psychiatric Residential Treatment Facility | 7386 Memphis Arlington Rd, Memphis, TN 38135-1908 | 2019-07-25 |
| 1396215810 | Hanbleceya Nashville, LLC | Psychiatric Residential Treatment Facility | 300 35th Ave N, Nashville, TN 37209-3921 | 2018-11-27 |
| 1700332145 | Keysgroupholdings LLC | Psychiatric Residential Treatment Facility | 110 Westwood Pl, Suite 100, Brentwood, TN 37027-5075 | 2016-08-26 |
| 1144672411 | Woodridge Behavioral Care, LLC | Psychiatric Residential Treatment Facility | 162 Cude Ln, Madison, TN 37115-2202 | 2016-07-11 |
| 1144689001 | Onsite Partners, Inc. | Psychiatric Residential Treatment Facility | 1044 Old Highway 48 N, Cumberland Furnace, TN 37051-5000 | 2016-02-19 |
| 1811389158 | Ko Pest Control | Psychiatric Residential Treatment Facility | 3575 Hwy 138, Toone, TN 38381 | 2015-02-24 |
| 1124463849 | Frontier Health | Psychiatric Residential Treatment Facility | 210 Quary Rd, Johnson City, TN 37601-7580 | 2013-05-08 |
| 1063796431 | The Link Center, Inc. | Psychiatric Residential Treatment Facility | 6978 Lebanon Rd Ste F, Mount Juliet, TN 37122-7201 | 2011-10-04 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBORO |
| Zip Code | 38485 |
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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.