Provider Demographics
NPI:1396888574
Name:GREENE COUNTY SKILLS, INC.
Entity type:Organization
Organization Name:GREENE COUNTY SKILLS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:D
Authorized Official - Last Name:GILLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-798-7100
Mailing Address - Street 1:130 BOB SMITH BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-4223
Mailing Address - Country:US
Mailing Address - Phone:423-798-7100
Mailing Address - Fax:423-798-7150
Practice Address - Street 1:130 BOB SMITH BLVD
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4223
Practice Address - Country:US
Practice Address - Phone:423-798-7100
Practice Address - Fax:423-798-7146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA0600X
TNL 3(20)4M6-056-1334251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care