D&S RESIDENTIAL SERVICES, LP (NPI# 1194261354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194261354 |
| Entity Type | Organization |
| Organization Name | D&S RESIDENTIAL SERVICES, LP |
| Other Organization Name | MOUNTAIN BREEZE |
| Practice Address |
2619 Erwin Highway Afton TN 37616 |
| Mailing Address |
8911 N Capital of Texas Hwy Bldg 1., Ste. 1300 Austin TX 78759-7247 |
| Practice Telephone | 4237870382 |
| Practice Fax Number | 4237870561 |
| Mailing Telephone | 5123272325 |
| Mailing Fax Number | 5123275355 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | MICKEY ATKINS (PRESIDENT & CEO) |
| Authorized Official Telephone | 5123272325 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Mountain Breeze | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336685569 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1010 Old Stage Rd, Greeneville, TN 37745 | 2017-01-11 |
| 1326584830 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 2609 Erwin Highway, Afton, TN 37616 | 2017-01-09 |
| 1346692258 | D&s Residential Services, Lp | Custodial Care Facility | 406 E Wilson Bridge Rd, Ste. A, Worthington, OH 43085-3325 | 2016-07-05 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| 1528490547 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3783 Egypt Central, Memphis, TN 38128 | 2013-08-01 |
| 1235571886 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3432 Old Allen Rd, Memphis, TN 38128-4240 | 2013-07-24 |
| 1043650245 | D&s Residential Services, Lp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 259 R Old Flemingsburg Rd., Morehead, KY 40351-1047 | 2013-07-02 |
| 1649398249 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 225 S Commons Ford Rd, Austin, TX 78733-4004 | 2007-03-26 |
| 1952866360 | D&s Residential Services, Lp | Intermediate Care Facility, Mental Illness | 7422 Quail Run Dr, San Antonio, TX 78209-3129 | 2019-02-11 |
| 1043775455 | D&s Residential Services, Lp | Intermediate Care Facility, Mental Illness | 6647 Cades Cv, San Antonio, TX 78238-2238 | 2019-02-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | D&S RESIDENTIAL SERVICES, LP | 2502 5th St Crt Nw, Gig Harbor, WA 98335 |
| Oklahoma Business Registrations | D&S RESIDENTIAL SERVICES, LP | 8911 N Capital of Texas Hwy, Austin, TX 78759 |
| Street Address |
2619 ERWIN HIGHWAY |
| City | AFTON |
| State | TN |
| Zip Code | 37616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720501430 | Shea Price Pitts | Nurse Practitioner | 343 Pine Ridge Drive, Afton, TN 37616 | 2017-07-25 |
| 1326584830 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 2609 Erwin Highway, Afton, TN 37616 | 2017-01-09 |
| 1669956728 | Amethyst Moriah Crawford | Specialist/Technologist | 2515 Brittontown Rd, Afton, TN 37616-3951 | 2018-09-24 |
| 1447578786 | James H. Quillen Va Medical Center | Military Hospital | 2755 Babbs Mill Rd, Afton, TN 37616-4254 | 2010-05-11 |
| 1639620537 | Denise Alder | Specialist/Technologist | 365 Ripley Island Rd, Afton, TN 37616-5860 | 2016-10-17 |
| 1467760876 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 855 Meadowbrook Rd, Afton, TN 37616-6047 | 2010-09-20 |
| 1932316627 | Kathleen H. Wright | Speech-Language Pathologist | 160 Falcon Cir, Afton, TN 37616-6152 | 2007-05-16 |
| 1407030158 | Ted Craig Bleckstein | Dentist | 1085 River Village Ln, Afton, TN 37616-6219 | 2007-12-18 |
| 1588138374 | Beverly Fox | Physical Therapy Assistant | 215 Old Jonesboro Rd, Afton, TN 37616-6357 | 2019-01-15 |
| 1235469651 | Path Breakers | Case Management | 320 Preacher Laws Rd, Afton, TN 37616-6450 | 2010-01-07 |
| Find all providers in zip 37616 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326584830 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 2609 Erwin Highway, Afton, TN 37616 | 2017-01-09 |
| 1467760876 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 855 Meadowbrook Rd, Afton, TN 37616-6047 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801303433 | Rha Health Services Tn LLC | Intermediate Care Facility, Mentally Retarded | 9041 Executive Park Dr Ste 204, Knoxville, TN 37923-4609 | 2018-01-04 |
| 1497276323 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 7815 Gamble Road, Georgetown, TN 37336 | 2017-06-30 |
| 1851812796 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 7817 Gamble Road, Georgetown, TN 37336 | 2017-06-30 |
| 1770019911 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 12629 S Northshore Dr, Knoxville, TN 37922-5446 | 2017-05-09 |
| 1891221271 | Sunrise Community of Tennessee, Inc. | Intermediate Care Facility, Mentally Retarded | 640 Old Shiloh Rd, Greeneville, TN 37745-0556 | 2017-05-04 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1427582907 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 3997 Chuckey Rd, Chuckey, TN 37641 | 2017-04-12 |
| 1669905386 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1811 Bishops Bridge Rd, Knoxville, TN 37922-6214 | 2017-04-10 |
| 1235660903 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1819 Bishops Bridge Rd, Knoxville, TN 37922-6214 | 2017-03-24 |
| 1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
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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.