PAX MEMPHIS RECOVERY LLC (NPI# 1598268880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598268880 |
Entity Type | Organization |
Organization Name | PAX MEMPHIS RECOVERY LLC |
Other Organization Name | PAX MEMPHIS |
Practice Address |
4918 William Arnold Rd Memphis TN 38117-4238 |
Practice Telephone | 8447875862 |
Mailing Telephone | 8447875862 |
Enumeration Date | 2018-03-13 |
Last Update Date | 2019-12-11 |
Authorized Official Name | ANTHONY STEWART (OFFICE MANAGER) |
Authorized Official Telephone | 5613104026 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Pax Memphis | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PAX MEMPHIS RECOVERY LLC | 4918 William Arnold Road, Memphis, TN 38117-4238 |
Street Address |
4918 WILLIAM ARNOLD RD |
City | MEMPHIS |
State | TN |
Zip Code | 38117-4238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922293646 | Speechcare PC | Speech-Language Pathologist | 4918 William Arnold Rd, Memphis, TN 38117-4238 | 2007-09-06 |
1346848678 | Rachael Leigh Bailey | Social Worker | 4918 William Arnold Rd, Memphis, TN 38117-4238 | 2020-10-09 |
1538783527 | Anne Uhrman | Social Worker | 4918 William Arnold Rd, Memphis, TN 38117-4238 | 2020-06-04 |
1851927511 | Caleb Brooks | Social Worker | 4918 William Arnold Rd, Memphis, TN 38117-4238 | 2020-03-13 |
1083244321 | Pamela Wright | Social Worker | 4918 William Arnold Rd, Memphis, TN 38117-4238 | 2020-01-24 |
1942497698 | Sharon R Pollack | Speech-Language Pathologist | 4918 William Arnold Rd, Memphis, TN 38117-4238 | 2007-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
Find all providers in zip 38117 |
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 |
---|---|---|---|---|
1346598893 | Harbor House Inc | Substance Abuse Rehabilitation Facility | 1979 E Alcy Rd, Memphis, TN 38114-5902 | 2012-08-15 |
1841450210 | Grace House of Memphis, Inc. | Substance Abuse Rehabilitation Facility | 329 N Bellevue Blvd, Memphis, TN 38105-4306 | 2008-06-10 |
1235324245 | Cocaine Alcohol Awareness Program, Inc. | Substance Abuse Rehabilitation Facility | 4023 Knight Arnold Rd, Memphis, TN 38118-2128 | 2007-09-12 |
1629131297 | Serenityrecovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 1094 Poplar Ave, Memphis, TN 38105-4710 | 2006-12-18 |
1063406676 | The Synergy Foundation, Inc. | Substance Abuse Rehabilitation Facility | 2305 Airport Interchange Avenue, Memphis, TN 38132 | 2005-09-09 |
1518950609 | Memphis Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 219 N Montgomery St, Memphis, TN 38104-6931 | 2005-08-24 |
1326584814 | Meridian Behavioral Health Services LLC | Substance Abuse Rehabilitation Facility | 1950 Madison Ave, Memphis, TN 38104-2707 | 2017-01-09 |
1750708798 | Veterans Affairs Hospital (memphis) | Substance Abuse Rehabilitation Facility | 1030 Jefferson Ave, Department of Mental Health/chemical Dependency Center, Memphis, TN 38104-2127 | 2014-03-27 |
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.