Provider Demographics
NPI:1386867380
Name:PACESETTERS INCORPORATED
Entity Type:Organization
Organization Name:PACESETTERS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:BILBREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-537-9100
Mailing Address - Street 1:PO BOX 49018
Mailing Address - Street 2:2511 HIGHWAY 111 NORTH
Mailing Address - City:ALGOOD
Mailing Address - State:TN
Mailing Address - Zip Code:38506-0018
Mailing Address - Country:US
Mailing Address - Phone:931-537-9100
Mailing Address - Fax:931-537-9180
Practice Address - Street 1:2511 HIGHWAY 111 NORTH
Practice Address - Street 2:
Practice Address - City:ALGOOD
Practice Address - State:TN
Practice Address - Zip Code:38506-0018
Practice Address - Country:US
Practice Address - Phone:931-537-9100
Practice Address - Fax:931-537-9180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL3204M51063601251B00000X, 251C00000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities