THE RANCH TENNESSEE
Complete NPI Record 1114404530
Substance Abuse Rehabilitation Facility in Nunnelly, TN
Active since July 27, 2018
Complete NPI Dataset
This page contains the complete raw NPPES record for The Ranch Tennessee (NPI 1114404530), a substance abuse rehabilitation facility organization in Nunnelly, TN. All 33 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1114404530 Field 1/33
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/33
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/33
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: PB OUTPATIENT SERVICES TENNESSEE, LLC Field 4/33
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: THE RANCH TENNESSEE Field 5/33
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 3 Field 6/33
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: PO BOX 207816 Field 7/33
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: DALLAS Field 8/33
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: TX Field 9/33
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 753207816 Field 10/33
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/33
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8473294100 Field 12/33
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 8473294900 Field 13/33
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 6275 PINEWOOD RD Field 14/33
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: NUNNELLY Field 15/33
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: TN Field 16/33
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 371372523 Field 17/33
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/33
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9317299728 Field 19/33
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 9317299632 Field 20/33
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: SASSERSON Field 23/33
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: SCOTT Field 24/33
- The first name of the authorized official.
- Authorized Official Middle Name: M. Field 25/33
- The middle name of the authorized official.
- Authorized Official Title or Position: CEO Field 26/33
- The title or position of the authorized official.
- Authorized Official Telephone Number: 9319948001 Field 27/33
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 323P00000X Field 28/33
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 29/33
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 324500000X Field 30/33
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 31/33
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 32/33
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Secondary Practice Locations 16
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1940 Boyce Rd
Location 1/16Nunnelly, TN 37137-2702 · Phone (931) 729-9728 · Fax (931) 729-9632
1637 Boyce Rd
Location 2/16Nunnelly, TN 37137 · Phone (931) 729-9728 · Fax (931) 729-9632
5166 Highway 48 N
Location 3/16Dickson, TN 37055-4632 · Phone (931) 729-9728 · Fax (931) 729-9632
2014 A&B Pinewood Road West
Location 4/16Nunnelly, TN 37137-2094 · Phone (931) 729-9728 · Fax (931) 729-9632
2603 Westwood Dr
Location 5/16Nashville, TN 37204-2709 · Phone (629) 899-6027 · Fax (615) 358-5140
3207 Highway 48 N
Location 6/16Nunnelly, TN 37137-2741 · Phone (931) 729-9728 · Fax (931) 729-9632
6107A Pinewood Rd
Location 7/16Nunnelly, TN 37137-2523 · Phone (931) 729-9728 · Fax (931) 729-9632
2006 Serenity Ln
Location 8/16Nunnelly, TN 37137 · Phone (931) 729-9728 · Fax (931) 729-9632
1470 Misty Ln
Location 9/16Centerville, TN 37033-5163 · Phone (931) 729-9728 · Fax (931) 729-9632
6107B Pinewood Rd
Location 10/16Nunnelly, TN 37137-2523 · Phone (931) 729-9728 · Fax (931) 729-9632
6745 Pinewood Mansion Ln
Location 11/16Nunnelly, TN 37137 · Phone (931) 729-9728 · Fax (931) 729-9632
6301 Pinewood Rd
Location 12/16Nunnelly, TN 37137 · Phone (931) 729-9728 · Fax (931) 729-9632
4939 Highway 48 N
Location 13/16Nunnelly, TN 37137-3755 · Phone (931) 729-9728 · Fax (931) 729-9632
6107D Pinewood Rd
Location 14/16Nunnelly, TN 37137-2523 · Phone (931) 729-9728 · Fax (931) 729-9632
1636 Boyce Rd
Location 15/16Nunnelly, TN 37137-2702 · Phone (931) 729-9728 · Fax (931) 729-9632
6107 Pinewood Rd
Location 16/16Nunnelly, TN 37137-2523 · Phone (954) 587-7771 · Fax (954) 252-2177
No registry entries match your active lookup criteria.
