1. Home
  2. Directory
  3. Tennessee
  4. Greeneville
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

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: October 04, 2026.

About Greene Valley Developmental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENE VALLEY DEVELOPMENTAL CENTER (NPI 1811159072) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Greeneville, Tennessee and active in the NPI registry since June 2008. The organization lists Gary D Simcox, Fiscal Director 1, as its authorized official.

NPPES Registry Identity

NPI1811159072
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF TENNESSEE GREENE VALLEY DEVELOPMENTAL CENTER
Location Address4850 E ANDREW JOHNSON HWYGreeneville, TN 37745-3098
Mailing AddressPo Box 910Greeneville, TN 37744-0910 · (423) 787-6570 · Fax (423) 787-6975
Phone(423) 787-6570
Fax(423) 787-6975
Organization SubpartYesParent: State Of Tennessee
Authorized OfficialGary D SimcoxFiscal Director 1 · (423) 787-6570
Enumeration DateJune 30, 2008
✔ NPI 1811159072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in TN · L3231061620
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
4850 E ANDREW JOHNSON HWY, Greeneville, TN 37745
Open in Google Maps ↗

Other Names 1

Doing Business AsGreene Valley Developmental Center

Other Identifiers 1

Medicaid7447018TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANGELA MARIE NEAS PTA
Physical Therapy Assistant
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Greene County (423) 787-6800
ROBIN LEIGH CARTER DPT, ATP
Physical Therapist
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Greene County (423) 787-6733
DEBRA P LEACH
Physical Therapy Assistant
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Greene County (423) 787-6954
RHONDA MCNABB RD, LDN
Dietitian, Registered
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Greene County (423) 972-3333
MR. FRED HOWARD STEINBERG PT
Physical Therapist
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Greene County (423) 787-6800
MRS. CHRISTINA MARIE ELYZE-VITAL PT
Physical Therapist
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Greene County (423) 787-6954
MRS. JOY CHRISTINE SHELTON CRT
Respiratory Therapist, Certified
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Greene County (423) 787-6635
MS. VICTORIA LYNN KITE OTR
Occupational Therapist
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745
Greene County (423) 787-6503

Frequently 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 State Of Tennessee Greene Valley Developmental Center's NPI number?

The NPI number for State Of Tennessee Greene Valley Developmental Center is 1811159072. It was assigned to this organization in the NPPES registry on June 30, 2008. The provider is doing business as Greene Valley Developmental Center.

Where is State Of Tennessee Greene Valley Developmental Center located?

State Of Tennessee Greene Valley Developmental Center is located at 4850 E Andrew Johnson Hwy, Greeneville, TN 37745. The listed phone number is (423) 787-6570.

What is State Of Tennessee Greene Valley Developmental Center's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for State Of Tennessee Greene Valley Developmental Center was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.