GREENE VALLEY DEVELOPMENTAL CENTER
NPI 1811159072
Intermediate Care Facility, Intellectual Disabilities in Greeneville, TN

Active since June 30, 2008
4850 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745(423) 787-6570(423) 787-6975 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Intermediate Care Facility, Intellectual...

About GREENE VALLEY DEVELOPMENTAL CENTER

This page provides the complete NPI Profile along with additional information for Greene Valley Developmental Center, a provider established in Greeneville, Tennessee operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1811159072 assigned on June 2008. The practitioner's primary taxonomy code is 315P00000X with license number L3231061620 (TN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Greene Valley Developmental Center. The authorized official of this NPI record is Mr. Gary D Simcox Cpa Cgfm (Fiscal Director 1)

NPI
1811159072 Verify this NPI
Provider Legal Name
STATE OF TENNESSEE GREENE VALLEY DEVELOPMENTAL CENTER
Other Organization Name
GREENE VALLEY DEVELOPMENTAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4850 E ANDREW JOHNSON HWY GREENEVILLE, TN 37745
Location Phone
(423) 787-6570
Location Fax
(423) 787-6975
Mailing Address
PO BOX 910 GREENEVILLE, TN 37744
Mailing Phone
(423) 787-6570
Mailing Fax
(423) 787-6975
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-30-2008
Last Update Date
06-30-2008
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
L3231061620
License State
TN
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GARY D SIMCOX CPA CGFM

Authorized Official Title
FISCAL DIRECTOR 1
Authorized Official Phone
(423) 787-6570

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7447018MEDICAID (05)TN 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Nurse Practitioner
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Intermediate Care Facility, Intellectual Disabilities
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Psychiatry & Neurology (Forensic Psychiatry)
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Pediatrics
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Psychiatry & Neurology (Forensic Psychiatry)
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Psychologist (Intellectual and Developmental Disabilities)
4850 E ANDREW JOHNSON HWY, GREENE VALLEY DEVELOPMENTAL CENTER
GREENEVILLE, TN 37745
Psychologist
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Psychologist
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Speech-Language Pathologist
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Respiratory Therapist, Certified
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Respiratory Therapist, Certified
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Respiratory Therapist, Certified
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Respiratory Therapist, Certified
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Respiratory Therapist, Registered
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Respiratory Therapist, Certified
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Respiratory Therapist, Registered (General Care)
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Speech-Language Pathologist
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Respiratory Therapist, Certified
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Respiratory Therapist, Certified
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811159072, enumerated as an "organization" on June 30, 2008.

The provider is located at 4850 E ANDREW JOHNSON HWY GREENEVILLE, TN 37745 and the phone number is (423) 787-6570.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.