Provider Demographics
NPI:1790185890
Name:BC TRANSITIONAL HOUSING
Entity Type:Organization
Organization Name:BC TRANSITIONAL HOUSING
Other - Org Name:BC TRANSITIONAL HOUSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILLIE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-423-9157
Mailing Address - Street 1:4155 FARMVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37218-1618
Mailing Address - Country:US
Mailing Address - Phone:615-423-9157
Mailing Address - Fax:
Practice Address - Street 1:4155 FARMVIEW DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37218-1618
Practice Address - Country:US
Practice Address - Phone:615-423-9157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000014338320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness