CLOVER BOTTOM DEVELOPMENTAL CENTER (NPI# 1942382270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942382270 |
| Entity Type | Organization |
| Organization Name | CLOVER BOTTOM DEVELOPMENTAL CENTER |
| Practice Address |
275 Stewarts Ferry Pike Nashville TN 37214-3325 |
| Practice Telephone | 6152315065 |
| Practice Fax Number | 6152315316 |
| Mailing Fax Number | 6152315316 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHARLES CASS (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 6152315528 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
856 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 7447010 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356785307 | Clover Bottom Developmental Center | Intermediate Care Facility, Mentally Retarded | 275 Stewarts Ferry Pike, Nashville, TN 37214-3325 | 2013-04-22 |
| Street Address |
275 STEWARTS FERRY PIKE |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37214-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568872729 | Deborah Lynn Poirier | Occupational Therapy Assistant | 275 Stewarts Ferry Pike, Nashville, TN 37214 | 2014-04-28 |
| 1346660677 | Lisa Linder | Specialist | 275 Stewarts Ferry Pike, Nashville, TN 37214-3325 | 2014-04-25 |
| 1033539325 | Jeffrey David Barton | Physical Therapist | 275 Stewarts Ferry Pike, Assistive Technology Clinic, Nashville, TN 37214-3325 | 2014-04-24 |
| 1245660976 | Earhart #2 | Intermediate Care Facility, Mentally Retarded | 275 Stewarts Ferry Pike, Nashville, TN 37214-3325 | 2013-11-15 |
| 1356785307 | Clover Bottom Developmental Center | Intermediate Care Facility, Mentally Retarded | 275 Stewarts Ferry Pike, Nashville, TN 37214-3325 | 2013-04-22 |
| 1154674216 | Mary Leslie Carson | Physical Therapist | 275 Stewarts Ferry Pike, Nashville, TN 37214-3325 | 2012-10-25 |
| 1306119599 | Department of Intellectual and Developmental Disabilities | Day Training, Developmentally Disabled Services | 275 Stewarts Ferry Pike, Nashville, TN 37214-3325 | 2012-02-17 |
| 1730458654 | Middle Tennessee Resource Center | Dietitian, Registered | 275 Stewarts Ferry Pike, Nashville, TN 37214-3325 | 2011-12-21 |
| 1154603801 | Cynthia Jane Lewis | Physical Therapy Assistant | 275 Stewarts Ferry Pike, Nashville, TN 37214-3325 | 2011-09-19 |
| 1528349594 | Jane Marie Charleton | Physical Therapist | 275 Stewarts Ferry Pike, Nashville, TN 37214-3325 | 2011-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679084123 | Paula Gardner-porter | Counselor | 1310 Peremiter Hill Dr, Nashville, TN 37214 | 2017-10-23 |
| 1811412612 | Laura Marie Stiles | Physician Assistant | 2630 Elm Hill Pk, Nashville, TN 37214 | 2017-08-14 |
| 1902348279 | Caresouth Hha Holdings of Winchester, LLC | Hospice Care, Community Based | 828 Royal Parkway, Suite 113, Nashville, TN 37214 | 2016-11-17 |
| 1861949547 | Roger P. Sherman, M.d., P.l.l.c. | Family Medicine | 211 Donelson Pike Ste 102, Nashville, TN 37214 | 2016-09-09 |
| 1023465143 | Sarah Carpenter | Speech-Language Pathologist | 3233 Lincoya Creek Drive, Nashville, TN 37214 | 2016-05-18 |
| 1306209861 | Shemicka Adams | Behavioral Analyst | 2996a Windemere Circle, Nashville, TN 37214 | 2016-04-01 |
| 1922483023 | Abigail Bargatze | Radiologic Technologist | 1708 Elm Run Way, Nashville, TN 37214 | 2015-07-30 |
| 1588045199 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 2410 Wilford Drive, Donelson, TN 37214 | 2015-06-10 |
| 1023499639 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 328 Dennywood Drive, Donelson, TN 37214 | 2015-06-10 |
| 1912387242 | Donelson Smiles Dentistry, PC | Dentist | 2340 Lebanon Pike, Nashville, TN 37214 | 2015-06-02 |
| Find all providers in zip 37214 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164032546 | Polaris Pharmacy Services of Tennessee, LLC | Pharmacy | 7005 Wesbelt Drive, Nashville, TN 32709 | 2020-07-31 |
| 1598137499 | Tennessee Department of Correction Central Pharmacy | Pharmacy | 7575 Cockrill Bend Blvd Bldg 12a, Nashville, TN 37209-1056 | 2015-10-30 |
| 1174657142 | New Day Pharmacy Corporation | Pharmacy | 5215 Linbar Dr, Suite 210, Nashville, TN 37211-1031 | 2007-03-14 |
| 1457387581 | Amc - Tennessee, LLC | Pharmacy | 1682 Elm Hill Pike, Nashville, TN 37210-3604 | 2006-06-23 |
| 1689610008 | Bradley Extended Care Inc | Pharmacy | 402 53rd Ave N, Nashville, TN 37209 | 2006-06-22 |
| 1083609168 | Bordeaux Long Term Care | Pharmacy | 1414 County Hospital Rd, Nashville, TN 37218-3023 | 2005-09-15 |
| 1275145039 | Pharmacy Health Solutions LLC | Pharmacy | 1406 Mcgavock Pike Ste A, Nashville, TN 37216-3233 | 2020-08-21 |
| 1447724125 | Tjd Enterprises LLC | Pharmacy | 143 S Washington St, Nashville, IL 62263-1430 | 2019-01-16 |
| 1194149419 | Dunklau Pharmacy Holdings | Pharmacy | 300 20th Ave N, Suite 105, Nashville, TN 37203-2131 | 2014-02-06 |
| 1790106854 | Trixicorp | Pharmacy | 2510 Murfreesboro Pike, Suite 9, Nashville, TN 37217-3582 | 2013-12-16 |
| Find all providers in NASHVILLE | ||||
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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.