MICHAEL DUNN CENTER (NPI# 1639522808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639522808 |
| Entity Type | Organization |
| Organization Name | MICHAEL DUNN CENTER |
| Other Organization Name | LACROIX HOME |
| Practice Address |
313 Michael Dunn Dr Rockwood TN 37854-4519 |
| Mailing Address |
629 Gallaher Rd Kingston TN 37763-4215 |
| Practice Telephone | 8653763416 |
| Practice Fax Number | 8653763532 |
| Mailing Telephone | 8653763416 |
| Mailing Fax Number | 8653763532 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-10-10 |
| Authorized Official Name | MR. MIKE L. MCELHINNEY (PRESIDENT/CEO) |
| Authorized Official Telephone | 8653763416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | L000000014778 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 103G705293 | 01 |
| Other Name | Type Code |
|---|---|
| LaCroix Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053861476 | Michael Dunn Center | Intermediate Care Facility, Mentally Retarded | 763 Clymersville Rd, Rockwood, TN 37854-6508 | 2016-10-10 |
| 1316076268 | Michael Dunn Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 629 Gallaher Rd, Kingston, TN 37763-4215 | 2007-03-05 |
| 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 |
313 MICHAEL DUNN DR |
| City | ROCKWOOD |
| State | TN |
| Zip Code | 37854-4519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245500917 | Assurance Professional Billing Services | Specialist | 236 Burke Mill Rd, Rockwood, TN 37854 | 2012-01-11 |
| 1639407489 | Robert Sloan Hicks Jr. | Pharmacist | 225 West Rockwood St., Live and Let Live Drug Store, Rockwood, TN 37854 | 2009-12-04 |
| 1255477741 | Janet Eldridge Isham | Licensed Practical Nurse | 1362 N. Gateway Ave, Rockwood, TN 37854 | 2007-01-30 |
| 1154439271 | James Larry Brewer | Dentist | 1124 N Gateway Ave, Rockwood, TN 37854 | 2006-08-28 |
| 1750808093 | Cynthia Dawn Clark | Nurse Practitioner | 1420 N Gateway Ave, Rockwood, TN 37854 | 2017-08-28 |
| 1568772754 | Summit Medical Group, Pllc | Internal Medicine | 1420 North Gateway Ave, Rockwood, TN 37854 | 2010-10-21 |
| 1841348547 | Darrell Eugene Cates Jr. | Dentist | 1546 Gateway Ave., Rockwood, TN 37854-0003 | 2007-01-08 |
| 1033264411 | Sherry G Hill | Pharmacist | 225 W Rockwood St, Rockwood, TN 37854-2243 | 2007-01-24 |
| 1487003455 | Live and Let Live Drug Store, Inc | Durable Medical Equipment & Medical Supplies | 225 W Rockwood St, Rockwood, TN 37854-2243 | 2016-06-09 |
| 1851434666 | Jessica Ruthanne Kilgore | Pharmacist | 225 W Rockwood St, Rockwood, TN 37854-2243 | 2007-02-14 |
| Find all providers in zip 37854 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053861476 | Michael Dunn Center | Intermediate Care Facility, Mentally Retarded | 763 Clymersville Rd, Rockwood, TN 37854-6508 | 2016-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801303433 | Rha Health Services Tn LLC | Intermediate Care Facility, Mentally Retarded | 9041 Executive Park Dr Ste 204, Knoxville, TN 37923-4609 | 2018-01-04 |
| 1497276323 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 7815 Gamble Road, Georgetown, TN 37336 | 2017-06-30 |
| 1851812796 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 7817 Gamble Road, Georgetown, TN 37336 | 2017-06-30 |
| 1770019911 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 12629 S Northshore Dr, Knoxville, TN 37922-5446 | 2017-05-09 |
| 1891221271 | Sunrise Community of Tennessee, Inc. | Intermediate Care Facility, Mentally Retarded | 640 Old Shiloh Rd, Greeneville, TN 37745-0556 | 2017-05-04 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1427582907 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 3997 Chuckey Rd, Chuckey, TN 37641 | 2017-04-12 |
| 1669905386 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1811 Bishops Bridge Rd, Knoxville, TN 37922-6214 | 2017-04-10 |
| 1235660903 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1819 Bishops Bridge Rd, Knoxville, TN 37922-6214 | 2017-03-24 |
| 1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
| 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.