MICHAEL DUNN CENTER (NPI# 1316076268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316076268 |
Entity Type | Organization |
Organization Name | MICHAEL DUNN CENTER |
Practice Address |
629 Gallaher Rd Kingston TN 37763-4215 |
Practice Telephone | 8653763416 |
Practice Fax Number | 8657174858 |
Mailing Telephone | 8653763416 |
Mailing Fax Number | 8657174858 |
Enumeration Date | 2007-03-05 |
Last Update Date | 2011-11-21 |
Authorized Official Name | MR. MIKE MCELHINNEY (PRESIDENT CEO) |
Authorized Official Telephone | 8653763416 |
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 | L 3(20)4M5-056-1 | TN | Residential Treatment Facilities |
N | 314000000X | Skilled Nursing Facility | L 3(20)4M5-056-1 | TN | Nursing & Custodial Care Facilities |
N | 235Z00000X | Speech-Language Pathologist | L 3(20)4M5-056-1 | TN | Speech, Language and Hearing Service Providers |
N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
L 3(20)4M5-056-1 | TN | Speech, Language and Hearing Service Providers |
N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
L 3(20)4M5-056-1 | TN | Dietary & Nutritional Service Providers |
N | 133V00000X | Dietitian, Registered | L 3(20)4M5 | TN | Dietary & Nutritional Service Providers |
N | 2251N0400X |
Physical Therapist Specialization: Neurology |
L 3(20)4M5-056-1 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
L 3(20)4M5 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225200000X | Physical Therapy Assistant | L 3(20)4M5-056-1 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 224Z00000X | Occupational Therapy Assistant | L 3(20)4M5-056-1 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 224ZE0001X |
Occupational Therapy Assistant Specialization: Environmental Modification |
L 3(20)4M5 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 251C00000X | Day Training, Developmentally Disabled Services | L 3(20)4M5 | TN | Agencies |
N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
L 3(20)4M5 | TN | Respite Care Facility |
N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | L 3(20)4M5 | TN | Residential Treatment Facilities |
N | 320700000X | Residential Treatment Facility, Physical Disabilities | L 3(20)4M5 | TN | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 00024-E | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053861476 | Michael Dunn Center | Intermediate Care Facility, Mentally Retarded | 763 Clymersville Rd, Rockwood, TN 37854-6508 | 2016-10-10 |
1639522808 | Michael Dunn Center | Intermediate Care Facility, Mentally Retarded | 313 Michael Dunn Dr, Rockwood, TN 37854-4519 | 2016-07-22 |
1447389572 | Michael Dunn Center | Intermediate Care Facility, Mentally Retarded | 104 Village Trce, Kingston, TN 37763-7066 | 2007-03-05 |
1003950692 | Michael Dunn Center | Intermediate Care Facility, Mentally Retarded | 106 Village Trce, Kingston, TN 37763-7066 | 2007-02-16 |
1700316213 | Michael Dunn Center | Speech-Language Pathologist | 629 Gallaher Rd, Kingston, TN 37763-4215 | 2017-06-18 |
1811325624 | Michael Dunn Center | Physical Therapy Assistant | 629 Gallaher Rd, Kingston, TN 37763-4215 | 2013-10-15 |
Street Address |
629 GALLAHER RD |
City | KINGSTON |
State | TN |
Zip Code | 37763-4215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972135762 | Suzanne Elise Stinnett | Speech-Language Pathologist | 629 Gallaher Rd, Kingston, TN 37763-4215 | 2020-02-10 |
1881224368 | Joy Ann Jansen Whitaker | Physical Therapist | 629 Gallaher Rd, Kingston, TN 37763-4215 | 2020-01-23 |
1487202693 | Kimberly Garrison | Physical Therapist | 629 Gallaher Rd, Kingston, TN 37763-4215 | 2019-08-30 |
1679130652 | Denise Lynne Willer | Registered Nurse | 629 Gallaher Rd, Kingston, TN 37763-4215 | 2019-05-24 |
1215592290 | Summer Renee' Riggs | Occupational Therapist | 629 Gallaher Rd, Kingston, TN 37763-4215 | 2019-05-06 |
1700316213 | Michael Dunn Center | Speech-Language Pathologist | 629 Gallaher Rd, Kingston, TN 37763-4215 | 2017-06-18 |
1043641004 | Lindsey Diane French | Dietitian, Registered | 629 Gallaher Rd, Kingston, TN 37763-4215 | 2013-12-02 |
1811325624 | Michael Dunn Center | Physical Therapy Assistant | 629 Gallaher Rd, Kingston, TN 37763-4215 | 2013-10-15 |
1992133771 | Lauren Copeland | Physical Therapy Assistant | 629 Gallaher Rd, Kingston, TN 37763-4215 | 2013-10-14 |
1619217981 | Andrea Marie Branson | Physical Therapist | 629 Gallaher Rd, Kingston, TN 37763-4215 | 2013-02-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124445937 | Jessica Shea Kirkland | Physical Therapist | 629 Gallher Rd, Kingston, TN 37763 | 2014-03-19 |
1639328529 | Kenneth P Fus | Pharmacist | 106 W. Race Street, Kingston, TN 37763 | 2008-09-16 |
1558580266 | Total Mobility Inc | Durable Medical Equipment & Medical Supplies | 2644 Decatur Hwy, Kingston, TN 37763 | 2007-04-24 |
1699824789 | James David Walmsley Jr. | Dentist | 1011 Waterford Pl, Kingston, TN 37763 | 2007-01-09 |
1689618886 | William Joseph Roberts | General Practice | 1445 Kingston Way, Kingston, TN 37763 | 2006-06-16 |
1851356851 | Larry D Ladd | Physical Therapist | 100 E Race St, A, Kingston, TN 37763 | 2006-04-20 |
1497725964 | Elizabeth Turner | Social Worker | 1002 Bradford Way, Kingston, TN 37763 | 2006-01-25 |
1073064309 | Elizabeth Jennings Ivey | Counselor | 508 N Kentucky St Ste 4, Kingston, TN 37763 | 2016-10-21 |
1982966966 | Megan H Chapman | Physician Assistant | 933 W Race St, Kingston, TN 37763 | 2012-06-14 |
1568609220 | Michelle Carr | Occupational Therapist | 187 Gallaher Rd, Kingston, TN 37763 | 2009-01-15 |
Find all providers in zip 37763 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821489766 | Reaching Beyond Limits | Day Training, Developmentally Disabled Services | 310 Market St, Kingston, PA 18704-5425 | 2015-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710593082 | Simplylove Care Inc | Day Training, Developmentally Disabled Services | 8920 Macauley Ln, Nolensville, TN 37135-4013 | 2020-09-21 |
1588282628 | Emma Wedley | Day Training, Developmentally Disabled Services | 2855 Stage Village Cv Ste 8, Bartlett, TN 38134-4616 | 2020-07-06 |
1376008011 | Excel Centers of America, LLC | Day Training, Developmentally Disabled Services | 2855 Stage Village Cv Ste 7, Bartlett, TN 38134-4616 | 2019-02-06 |
1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
1134617350 | Golden Moments Home Care, LLC | Day Training, Developmentally Disabled Services | 201 Airways Blvd, Jackson, TN 38301-5800 | 2018-04-24 |
1316449366 | Don A Hunt-ford Jr. | Day Training, Developmentally Disabled Services | 2016 Angel Way, Forney, TN 75126 | 2018-03-06 |
1013462050 | C.s. Patterson Training & Habilitation Center, Inc. | Day Training, Developmentally Disabled Services | 1284 Us Highway 45 Byp N, Trenton, TN 38382-4005 | 2016-08-19 |
1104287861 | Adult Community Training Inc. | Day Training, Developmentally Disabled Services | 5410 Highway 321 N, Lenoir City, TN 37771-7540 | 2016-03-09 |
1851762819 | Lydia Hodge | Day Training, Developmentally Disabled Services | 5705 Stage Rd Ste 200, Bartlett, TN 38134-4511 | 2015-10-15 |
1154714335 | Triumph Care, LLC | Day Training, Developmentally Disabled Services | 1161 Murfreesboro Pike Ste 132, Nashville, TN 37217-2225 | 2015-03-11 |
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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.