EAGLES NEST MENTAL HEALTH SERVICES INC (NPI# 1295007839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295007839 |
| Entity Type | Organization |
| Organization Name | EAGLES NEST MENTAL HEALTH SERVICES INC |
| Practice Address |
319 Plus Park Blvd Suite 201 Nashville TN 37217-1098 |
| Mailing Address |
Po Box 60895 Nashville TN 37206-0895 |
| Practice Telephone | 6159154074 |
| Practice Fax Number | 6159426392 |
| Mailing Telephone | 6159154074 |
| Mailing Fax Number | 6159426392 |
| Enumeration Date | 2012-01-28 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | MRS. THELMA WILLENE JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6159154074 |
| Authorized Official Credential | LPC-MHSP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7929 | TN | Residential Treatment Facilities |
| N | 253Z00000X | In Home Supportive Care | 7929 | TN | Agencies |
| N | 343900000X | Non-emergency Medical Transport (VAN) | 7929 | TN | Transportation Services |
| N | 251C00000X | Day Training, Developmentally Disabled Services | 7929 | TN | Agencies |
| N | 385H00000X | Respite Care | 7929 | TN | Respite Care Facility |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7929 | TN | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | H42 | 05 |
| Street Address |
319 PLUS PARK BLVD SUITE 201 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37217-1098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447532205 | Tt & S Family Foundation Inc | Counselor | 319 Plus Park Blvd, Nashville, TN 37217-1098 | 2011-09-16 |
| 1568866408 | Genuine Care Services | Community Based Residential Treatment Facility, Mental Illness | 319 Plus Park Blvd, Suite 200, Nashville, TN 37217-1098 | 2014-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184079 | Heart and Soul Hospice LLC | Hospice Care, Community Based | 402 Bna Corporate Dr., Suite 305, Nashville, TN 37217 | 2020-11-03 |
| 1194332148 | Talley Boarding Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2741 Smith Springs Rd, Nashville, TN 37217 | 2020-09-24 |
| 1114543154 | Optum Pharmacy 701, LLC | Pharmacy | 800 Airpark Center Drive, Suite 809, Nashville, TN 37217 | 2020-06-24 |
| 1346861309 | Rx Clinic LLC | Family Medicine | 1046 Mcgavock Pike Ste A, Nashville, TN 37217 | 2020-04-30 |
| 1366935777 | Horizon Star Healthcare, Inc. | Nursing Care | 2201 Murfreesboro Pike Ste D-109, Nashville, TN 37217 | 2018-06-11 |
| 1649790056 | Mid-cumberland Human Resource Agency | Non-emergency Medical Transport (VAN) | 1101 Kermit Drive, Ste 300, Nashville, TN 37217 | 2017-06-27 |
| 1699216762 | Rocky Mountain Holdings, LLC | Ambulance | 603 Hangar Ln, Nashville, TN 37217 | 2017-03-09 |
| 1053715870 | Ida Michelle Daughtry | Physical Therapist | 1120 Twin Circle Drive, Nashville, TN 37217 | 2014-10-22 |
| 1497158885 | Rebeccah Fore | Preferred Provider Organization | 331 Plus Park Blvd. #150, Nashville, TN 37217 | 2014-09-30 |
| 1326465089 | Eberechi Obi Onyejiaka | Custodial Care Facility | 525 Galesburg Ct., Nashville, TN 37217 | 2014-03-19 |
| Find all providers in zip 37217 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295139871 | Community Options, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2815 Patriot Way, Nashville, TN 37214-3541 | 2014-10-10 |
| 1508126293 | Peace of Mind Adult Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 703 Baybery Ln, Nashville, NC 27856-1578 | 2012-05-29 |
| 1598051302 | Peace of Mind Adult Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 703 Bayberry Ln, Nashville, NC 27856-1578 | 2011-06-21 |
| 1598075715 | Elizabeth Care Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1326 Rose L. Parks Blvd., Suite B, Nashville, TN 37208 | 2010-10-21 |
| 1518293737 | Questcare Group Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 721 Roman Dr., Nashville, TN 37207 | 2009-10-22 |
| 1518127315 | Welcome Home Group Home II | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 709 Bayberry Ln, Nashville, NC 27856-1578 | 2008-06-15 |
| 1780863951 | Simbelyn Dr. Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 211 Simbelyn Dr, Nashville, NC 27856-1735 | 2007-10-24 |
| 1811012149 | Quality Living Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2201 Murfreesboro Pike, Suite C 204, Nashville, TN 37217-3327 | 2007-03-19 |
| 1710022843 | Progressive Residential Services of Tennessee, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 107 Music City Cir, Suite 101, Nashville, TN 37214-1214 | 2007-02-20 |
| 1275672685 | Preferred Alternatives of Tn, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Vantage Way Ste 100, Nashville, TN 37228-1515 | 2007-02-05 |
| Find all providers in NASHVILLE | ||||
Please comment or provide details below to improve the information on EAGLES NEST MENTAL HEALTH SERVICES INC.
| 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.