Organization Name: | GREEN CARE HOMES OF TENNESSEE, INC. |
NPI Number: | 1790078996 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOSES GREEN (CEO) |
Mailing Address: | 1405 14th Ave N Nashville |
State: | TN US |
Postal Code: | 372082032 |
Phone Number: | 6156518079 |
Fax Number: | 6156518080 |
NPI Enumeration Date: | 05/20/2011 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | 1000000008126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |