BOBBY WINBUSH


Address: 1167 Parkland Rd, Memphis, TN 38111
Phone: 9196337771

BOBBY WINBUSH (NPI# 1831645100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831645100
Entity Type Individual
Full Name BOBBY WINBUSH
Practice Address 1167 Parkland Rd
Memphis
TN 38111
Mailing Address 1167 Parkland Rd
Memphis
TN 38111-4009
Practice Telephone 9196337771
Mailing Telephone 9196337771
Enumeration Date 2016-08-28
Last Update Date 2016-08-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Office Location

Street Address 1167 PARKLAND RD
City MEMPHIS
State TN
Zip Code 38111

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982168035 Meghan Weakley Pace Occupational Therapist 177 North Highlanld Ave, Memphis, TN 38111 2019-01-23
1386130466 Christopher Cory Wilbanks Nurse Practitioner 3445 Poplar Ave Ste 18, Memphis, TN 38111 2018-07-02
1124523287 Hands of Health and Rehab Clinic/Center 80 N. Tillman St. Ste. 104, Memphis, TN 38111 2018-03-29
1659889889 Jarod Lenahan Specialist/Technologist 1115 East Getwell Loop St, Memphis, TN 38111 2018-01-22
1356797427 Shilo Satran Counselor 208 Waynoka Lane, Memphis, TN 38111 2016-05-09
1346580552 Bianca Branch Psychologist 4166 W Bufford Ellington Dr, Memphis, TN 38111 2013-02-25
1043563935 Midsouth Vision Center Optometrist 3314 Poplar Ave Ste#1, Memphis, TN 38111 2012-10-17
1235407750 Demetria Nicole Rogers Pharmacist 3515 Park Avenue, Memphis, TN 38111 2011-12-12
1326335647 Jason Thomas Sasser Nurse Practitioner 3444 Plaza Ave., The Little Clinic, Memphis, TN 38111 2011-07-07
1851610265 Mattie Morris Brown In Home Supportive Care 3340 Poplar, Suite 221, Memphis, TN 38111 2010-05-25
Find all providers in zip 38111

Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447536875 Children's Bureau Inc. Residential Treatment Facility, Emotionally Disturbed Children 868 N Manassas St, Memphis, TN 38107-2516 2011-10-31
1629307046 Arthur Lee Robinson Residential Treatment Facility, Emotionally Disturbed Children 5425 Meadowick Ave, Memphis, TN 38115-3643 2009-12-14
1861687899 The Agency for Youth and Family Development Residential Treatment Facility, Emotionally Disturbed Children 1071 Mullins Station Rd, Memphis, TN 38134-7723 2007-09-12
1558916213 Youth Villages, Inc. Residential Treatment Facility, Emotionally Disturbed Children 7410 Memphis Arlington Rd, Memphis, TN 38135-1908 2019-08-08
1356783195 Daughters of Zion All Women's Bible College Residential Treatment Facility, Emotionally Disturbed Children 4400 Hickory Hill Rd, Memphis, TN 38141-6818 2013-07-22
1699878728 Sacred Heart Residential Treatment Facility, Emotionally Disturbed Children 400 Stoddard Rd., Memphis, MI 48041 2006-09-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043663495 Tennessee Children's Home Residential Treatment Facility, Emotionally Disturbed Children 8550 Harold Duncan Way, Knoxville, TN 37931 2016-07-21
1588973309 Lamont Ingram Developmental Organization Residential Treatment Facility, Emotionally Disturbed Children 437 Riverside Dr, Jackson, TN 38301-5720 2010-09-28
1073820130 Tennessee Children's Home Residential Treatment Facility, Emotionally Disturbed Children 804 Branham Hughes Circle, Springhill, TN 37174-2623 2010-09-09
1427132786 Parkwest Medical Center Residential Treatment Facility, Emotionally Disturbed Children 2341 Jones Bend Rd, Louisville, TN 37777 2006-10-24
1164417465 Cassandra Woodruff Youth Center Residential Treatment Facility, Emotionally Disturbed Children 605 Hemphill Cir, Chattanooga, TN 37411-2912 2005-09-13
1922651348 Youth Villages, Inc. Residential Treatment Facility, Emotionally Disturbed Children 2890 Bekemeyer Dr, Arlington, TN 38002-9522 2019-07-24
1629504980 Inna N Lyons Residential Treatment Facility, Emotionally Disturbed Children 332 Sumner Hall Dr, Gallatin, TN 37066-3129 2017-05-05
1144752841 Rite of Passage Inc Residential Treatment Facility, Emotionally Disturbed Children 216 Centerview Dr, Suite 317, Brentwood, TN 37027-3226 2017-03-31
1982044095 Parents Helping Intercede In The Lives of Adolescents In North Caro Residential Treatment Facility, Emotionally Disturbed Children 836 W 1st North St, Morristown, TN 37814-4548 2013-07-03
1538498555 Emmanuel Treatment Center Residential Treatment Facility, Emotionally Disturbed Children 101 Main Street, Ethridge, TN 38456 2009-12-22
Find all providers with the same taxonomy

Competitor

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City MEMPHIS
Zip Code 38111

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Dataset Information

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.

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