DETOX WEST TENNESSEE LLC
NPI 1720694193
Substance Abuse Rehabilitation Facility in Jackson, TN
About Detox West Tennessee Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DETOX WEST TENNESSEE LLC (NPI 1720694193), doing business as Brentwood Springs Detox, is a healthcare organization registered as a substance abuse rehabilitation facility in Jackson, Tennessee and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through May 30, 2028 and lists Ron Pruitt, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D2305465
Detox West Tennessee · Jackson, TNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Detox West Tennessee LLC's NPI number?
The NPI number for Detox West Tennessee LLC is 1720694193. It was assigned to this organization in the NPPES registry on September 21, 2020. The provider is doing business as Brentwood Springs Detox.
Where is Detox West Tennessee LLC located?
Detox West Tennessee LLC is located at 370 N Cumberland St, Jackson, TN 38301. The listed phone number is (615) 969-8612.
What is Detox West Tennessee LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Detox West Tennessee LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2305465) is associated with this NPI, valid through May 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Detox West Tennessee LLC accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Detox West Tennessee LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Detox West Tennessee LLC was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Detox West Tennessee Llc · NPI 1720694193
Substance Abuse Rehabilitation Facility organization in Jackson, Tennessee. Organization record, active in the CMS NPPES registry since September 21, 2020.
## Identity
- **NPI:** 1720694193 (Entity type: Organization)
- **Enumerated:** September 21, 2020
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Also known as:** Brentwood Springs Detox (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ron Pruitt, CEO
## Practice location
- **Address:** 370 N CUMBERLAND ST, Jackson, TN 38301-5470
- **Phone:** (615) 969-8612
## Record status
- **NPPES last updated:** May 20, 2026
- **Other identifiers:** Other 971960 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720694193) · Data from the CMS NPPES public registry.