Provider Demographics
NPI:1528358942
Name:TENNESSEE FAMILY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:TENNESSEE FAMILY SOLUTIONS, INC.
Other - Org Name:TENNESSEE FAMILY SOLUTIONS-ROCHESTER DRIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-255-8870
Mailing Address - Street 1:831 SEVEN OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-6485
Mailing Address - Country:US
Mailing Address - Phone:615-255-8870
Mailing Address - Fax:615-255-8890
Practice Address - Street 1:1432-1434 ROCHESTER DRIVE
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130
Practice Address - Country:US
Practice Address - Phone:615-255-8870
Practice Address - Fax:615-255-8890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-19
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNI000000006946315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7447132Medicaid