CG OF TENNESSEE, LLC (NPI# 1306364054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306364054 |
| Entity Type | Organization |
| Organization Name | CG OF TENNESSEE, LLC |
| Other Organization Name | OMNI SUPPORT SOLUTIONS |
| Practice Address |
301 S Perimeter Park Dr Nashville TN 37211-4143 |
| Mailing Address |
4800 Overton Plz Ste 440 Fort Worth TX 76109-4435 |
| Practice Telephone | 6158325454 |
| Practice Fax Number | 6158375772 |
| Mailing Telephone | 8002995161 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | MR. MARK LASHLEY (CEO) |
| Authorized Official Telephone | 8174472700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | PENDING | TN | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| Omni Support SOlutions | Doing Business As Name - Organization |
| Street Address |
301 S PERIMETER PARK DR |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37211-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770554461 | Linda B Horn | Counselor | 301 S Perimeter Park Dr, Suite 210, Nashville, TN 37211-4143 | 2006-01-30 |
| 1053924498 | Krystal Tremaine Alexander | Marriage & Family Therapist | 301 S Perimeter Park Dr, Nashville, TN 37211-4143 | 2020-08-25 |
| 1205341195 | Neesha Roberts | Counselor | 301 S Perimeter Park Dr, Nashville, TN 37211-4143 | 2017-12-13 |
| 1104377969 | Mollie Jean Sykes | Counselor | 301 S Perimeter Park Dr, Nashville, TN 37211-4143 | 2016-10-17 |
| 1912395351 | Ann Kelley | Psychologist | 301 S Perimeter Park Dr, Suite 210, Nashville, TN 37211-4143 | 2015-01-08 |
| 1891192845 | Cheryl Price | Counselor | 301 S Perimeter Park Dr, Suite 210, Nashville, TN 37211-4143 | 2014-11-19 |
| 1366784076 | Sarah Delois Thomas | Social Worker | 301 S Perimeter Park Dr, Suite 210, Nashville, TN 37211-4143 | 2013-03-20 |
| 1497017586 | Health Care for Life Tn, LLC | Podiatrist | 301 S Perimeter Park Dr, Ste 100-21, Nashville, TN 37211-4143 | 2012-06-13 |
| 1598043747 | Omni Visions, Inc. | Foster Care Agency | 301 S Perimeter Park Dr, Ste 210, Nashville, TN 37211-4143 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778566 | Results-ast Jv, LLC | Physical Therapist | 4909 Nolensville Road, Nashville, TN 37211 | 2020-10-21 |
| 1467079111 | Jennifer Rose Shin | Pharmacist | 15588 Old Hickory Blvd, Nashville, TN 37211 | 2020-06-29 |
| 1114544046 | Empoweru Therapy, LLC | Physical Therapist | 6632 Sugar Valley Dr, Nashville, TN 37211 | 2020-06-26 |
| 1023654415 | Kharis Care LLC | Registered Nurse | 4013 Travis Drive Suite 210, Nashville, TN 37211 | 2019-11-21 |
| 1568932143 | Irena Tatom | Counselor | 404 Bna Dr. Suite 110, Nashville, TN 37211 | 2018-11-27 |
| 1922590009 | Brentwood Springs Detox | Substance Abuse Rehabilitation Facility | 5935 Edmondson Pike, Nashville, TN 37211 | 2018-06-04 |
| 1912406901 | Peace By Piece Aba Therapy & Behavioral Services | Behavioral Analyst | 410 Central Pike, Suite 306, Nashville, TN 37211 | 2018-02-06 |
| 1437661980 | Sara Sanfilippo Meehan | Nurse Practitioner | 397 Wallace Rd Ste 407, Nashville, TN 37211 | 2017-10-24 |
| 1215455571 | Royal Care Transportation | Non-emergency Medical Transport (VAN) | 600 Whispering Hills Dr, Apt# L12, Nashville, TN 37211 | 2017-09-06 |
| 1659800936 | Ashley Wheeler | Behavior Technician | 2404 Rollett Ct., Nashville, TN 37211 | 2017-06-08 |
| Find all providers in zip 37211 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332148 | Talley Boarding Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2741 Smith Springs Rd, Nashville, TN 37217 | 2020-09-24 |
| 1467910992 | Milestone Home Healthcare Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1037 Jefferson St Ste G, Nashville, TN 37208-2554 | 2019-03-04 |
| 1255897831 | Salim Homes Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2714 Deerfield Dr, Nashville, TN 37208-1225 | 2019-02-19 |
| 1407324411 | Abundant Care Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2805 Foster Ave Ste 206, Nashville, TN 37210-5341 | 2018-11-07 |
| 1558837104 | Vicki Mckissick | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2131 Murfreesboro Pike Ste 210, Nashville, TN 37217-6306 | 2018-10-22 |
| 1699260273 | Quality Support Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2201 Murfreesboro Pike Ste D202, Nashville, TN 37217-3556 | 2018-06-26 |
| 1962910414 | Rochelle Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Southside Ct, Nashville, TN 37203-4762 | 2018-01-18 |
| 1619404126 | Dozie Matthew Nnamah | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2572a Murfreesboro Pike Ste D, Nashville, TN 37217-3577 | 2017-05-15 |
| 1255609475 | Thomas' Supports, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 129 Mccarthy Park Lane, Nashville, TN 37207 | 2011-12-02 |
| 1700916897 | Apta, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4437 Enchanted Cir, Nashville, TN 37218-1466 | 2007-03-07 |
| Find all providers in NASHVILLE | ||||
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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.