Provider Demographics
NPI:1114294923
Name:SPECIAL NEEDS, INC.
Entity Type:Organization
Organization Name:SPECIAL NEEDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGUINETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-941-3039
Mailing Address - Street 1:5331 MOUNT VIEW RD
Mailing Address - Street 2:172
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2308
Mailing Address - Country:US
Mailing Address - Phone:615-941-3039
Mailing Address - Fax:615-941-3039
Practice Address - Street 1:353 BATTLE RD
Practice Address - Street 2:
Practice Address - City:CANE RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37013-4809
Practice Address - Country:US
Practice Address - Phone:615-941-3039
Practice Address - Fax:615-941-3039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPSS0000000127251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNPSS0000000127OtherDEPARTMENT OF HEALTH
TNPT00000059963OtherPT OT BOARD OF EXAMINERS