Provider Demographics
NPI:1942678222
Name:BIBLICAL CONCEPTS GROUP HOMES
Entity Type:Organization
Organization Name:BIBLICAL CONCEPTS GROUP HOMES
Other - Org Name:BIBLICAL CONCEPTS HOUSING
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-975-2977
Mailing Address - Street 1:PO BOX 9109
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-6924
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:615-467-8593
Practice Address - Street 1:1004 LOUISVILLE HWY
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-1167
Practice Address - Country:US
Practice Address - Phone:615-643-0157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000014895320800000X
TNL000000016896320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness