THE LITTLE CLINIC OF TEXAS, LLC (NPI# 1700021490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700021490 |
Entity Type | Organization |
Organization Name | THE LITTLE CLINIC OF TEXAS, LLC |
Practice Address |
8 Cadillac Dr Suite 250 Brentwood TN 37027-5087 |
Practice Telephone | 6154254200 |
Practice Fax Number | 6154254271 |
Mailing Telephone | 6154254200 |
Mailing Fax Number | 6154254271 |
Enumeration Date | 2008-12-09 |
Last Update Date | 2008-12-09 |
Authorized Official Name | ROBERTO G. PANTOJA (CFO) |
Authorized Official Telephone | 6154254200 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
Street Address |
8 CADILLAC DR SUITE 250 |
City | BRENTWOOD |
State | TN |
Zip Code | 37027-5087 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134119902 | John F Carroll | Radiology | 8 Cadillac Dr, Suite 200, Brentwood, TN 37027-5087 | 2005-10-24 |
1609155019 | Natalie Charmaine Cain | Nurse Practitioner | 8 Cadillac Dr, Ste 250, Brentwood, TN 37027-5087 | 2011-08-16 |
1720366826 | Mairin Jett | Nurse Practitioner | 8 Cadillac Dr, Suite 250, Brentwood, TN 37027-5087 | 2011-07-25 |
1689988560 | Patient Information Logistics, LLC | Pharmacy | 8 Cadillac Dr, Suite 450, Brentwood, TN 37027-5087 | 2010-08-03 |
1275845539 | Gina Haffner | Nurse Practitioner | 8 Cadillac Dr, Suite 250, Brentwood, TN 37027-5087 | 2010-07-02 |
1588992523 | Laura Moore | Nurse Practitioner | 8 Cadillac Dr, Suite 250, Brentwood, TN 37027-5087 | 2009-12-03 |
1689901837 | Tiffany Adams Bredow | Nurse Practitioner | 8 Cadillac Dr, Suite 250, Brentwood, TN 37027-5087 | 2009-11-09 |
1659608024 | Meggen Brown | Nurse Practitioner | 8 Cadillac Dr, Brentwood, TN 37027-5087 | 2009-11-05 |
1073848594 | Cheryl Harry | Nurse Practitioner | 8 Cadillac Dr, Brentwood, TN 37027-5087 | 2009-10-16 |
1194958439 | Jennifer Lynn Hyrne | Nurse Practitioner | 8 Cadillac Dr, Suite 250, Brentwood, TN 37027-5087 | 2009-09-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
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Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538304225 | The Little Clinic of Virginia, LLC | Nursing Facility/Intermediate Care Facility | 8 Cadillac Dr, Suite 250, Brentwood, TN 37027-5087 | 2008-12-09 |
1174794655 | Tlc of Mi LLC | Nursing Facility/Intermediate Care Facility | 8 Cadillac Dr, Suite 250, Brentwood, TN 37027-5087 | 2008-03-12 |
1992999304 | The Little Clinic of Michigan LLC | Nursing Facility/Intermediate Care Facility | 8 Cadillac Dr, Suite 250, Brentwood, TN 37027-5087 | 2007-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922493592 | Oaktree Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 6500 Kirby Gate Cv, Memphis, TN 38119-8203 | 2015-04-01 |
1265779086 | White House Health Care, Inc. | Nursing Facility/Intermediate Care Facility | 2871 Highway 31 W, White House, TN 37188-5226 | 2013-01-14 |
1912289208 | Sonja Teresa Dishman | Nursing Facility/Intermediate Care Facility | 521 Potter Rd, Jamestown, TN 38556-4120 | 2011-09-13 |
1427350123 | At Home Health Services, LLC | Nursing Facility/Intermediate Care Facility | 22 Monument Rd, Suite 100, Summertown, TN 38483-7644 | 2010-12-01 |
1811218324 | Christian Care Center of Rutherford County LLC | Nursing Facility/Intermediate Care Facility | 202 Enon Springs Road East, Smyrna, TN 37167 | 2010-06-18 |
1619296936 | Dr Casey Kim Pllc | Nursing Facility/Intermediate Care Facility | 7902 Eagle Mere Rd, Chattanooga, TN 37421-7315 | 2010-05-26 |
1053556274 | Johnson City Health Property Investors, LLC | Nursing Facility/Intermediate Care Facility | 400 N Boone St, Johnson City, TN 37604-5635 | 2008-12-03 |
1598912537 | Agape Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 2020 Northpark, Suite 2f, Johnson City, TN 37604-3127 | 2008-08-21 |
1063614113 | Trina Wright | Nursing Facility/Intermediate Care Facility | 265 Margaret Cir, Mc Minnville, TN 37110-6815 | 2007-06-01 |
1841311404 | Ssc Newport Operating Company LLC | Nursing Facility/Intermediate Care Facility | 135 Generation Dr, Newport, TN 37821-8018 | 2007-04-02 |
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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.