NEW LIFE LODGE, INC. (NPI# 1376590075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376590075 |
| Entity Type | Organization |
| Organization Name | NEW LIFE LODGE, INC. |
| Practice Address |
999 Girl Scout Rd Burns TN 37029-9065 |
| Mailing Address |
Po Box 430 Burns TN 37029-0430 |
| Practice Telephone | 6154467034 |
| Practice Fax Number | 6154462377 |
| Mailing Telephone | 6154467034 |
| Mailing Fax Number | 6154462377 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVE R MUNROE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6154467034 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 0000000116 | TN | Residential Treatment Facilities |
| Street Address |
999 GIRL SCOUT RD |
| City | BURNS |
| State | TN |
| Zip Code | 37029-9065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881225951 | Wendy Jo Bullinger | Nurse Practitioner | 999 Girl Scout Rd, Burns, TN 37029-9065 | 2020-01-28 |
| 1598229718 | Clyde Russell Boswell | Nurse Practitioner | 999 Girl Scout Rd, Burns, TN 37029-9065 | 2019-01-23 |
| 1437634870 | Shaquita Bonds | Nurse Practitioner | 999 Girl Scout Rd, Burns, TN 37029-9065 | 2018-10-02 |
| 1770615619 | Crc Health Tennessee, LLC | Clinic/Center | 999 Girl Scout Rd, Burns, TN 37029 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104214 | Shirley Beth Clemence | Midwife | 2707 Stuart St, Burns, TN 37029 | 2019-03-25 |
| 1376992669 | Marcie Hadley | Health Educator | 709 B Main St., Burns, TN 37029 | 2016-06-07 |
| 1679826069 | Mary Anne O'brien | Registered Nurse | 2500 Charlotte Ave, Nashville, TN 37029 | 2012-10-22 |
| 1649555152 | Mary Ann Mccain | Counselor | 1447 Highway 96, Burns, TN 37029-5029 | 2011-10-15 |
| 1558359679 | Harold Glenn Speer Jr. | Dentist | 201 Gum Branch Rd, Burns, TN 37029-5103 | 2005-10-12 |
| 1275054769 | Karol Lorinc | Dentist | 201 Gum Branch Rd, Burns, TN 37029-5103 | 2017-07-05 |
| 1679946974 | Brian Dalton | Dentist | 201 Gum Branch Rd, Burns, TN 37029-5103 | 2015-11-09 |
| 1588976054 | Nancy Carol Storonskyj | Occupational Therapist | 1054 Ridglea Dr, Burns, TN 37029-5254 | 2010-07-12 |
| 1891075065 | James Robert Chatham II | Counselor | 1017 Ridglea Dr, Burns, TN 37029-5255 | 2011-08-19 |
| 1689916066 | Melvin Leslie Elson | Specialist | 4081 Highway 96, Burns, TN 37029-5528 | 2013-03-23 |
| Find all providers in zip 37029 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720694193 | Detox West Tennessee LLC | Substance Abuse Rehabilitation Facility | 370 N Cumberland St, Jackson, TN 38301-5470 | 2020-09-21 |
| 1003445917 | Nashville Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 1037 Jefferson St, Nashville, TN 37208-2554 | 2020-04-02 |
| 1306476023 | Recovery Court of Sumner County, Inc. | Substance Abuse Rehabilitation Facility | 132 S Water Ave, Gallatin, TN 37066-2903 | 2020-01-22 |
| 1548890494 | Harmony Oaks Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 7609 Shallowford Rd, Chattanooga, TN 37421-2633 | 2020-01-20 |
| 1629618483 | Tennessee Recovery Clinic LLC | Substance Abuse Rehabilitation Facility | 131 Edenwold Rd, Madison, TN 37115-2428 | 2020-01-09 |
| 1598319063 | Spring 2 Life Ministries | Substance Abuse Rehabilitation Facility | 3196 Hill Creek Rd, Woodbury, TN 37190-6803 | 2019-08-01 |
| 1356994164 | Recovery Unplugged Nashville, LLC | Substance Abuse Rehabilitation Facility | 255 Wilson Pike Cir, Brentwood, TN 37027-5207 | 2019-07-21 |
| 1922590009 | Brentwood Springs Detox | Substance Abuse Rehabilitation Facility | 5935 Edmondson Pike, Nashville, TN 37211 | 2018-06-04 |
| 1801301452 | 4m Healthsystem Inc | Substance Abuse Rehabilitation Facility | 827 Virtue Rd, Knoxville, TN 37934-5344 | 2017-12-05 |
| 1477080976 | Journeypure Murfreesboro LLC | Substance Abuse Rehabilitation Facility | 1139 Nw Broad St Ste 102, Murfreesboro, TN 37129-2390 | 2017-05-15 |
| 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.