Provider Demographics
NPI:1457579146
Name:MUR-CI HOMES, INC.
Entity Type:Organization
Organization Name:MUR-CI HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KOPANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:615-641-6446
Mailing Address - Street 1:2984 BABY RUTH LN
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2301
Mailing Address - Country:US
Mailing Address - Phone:615-641-6446
Mailing Address - Fax:615-641-2416
Practice Address - Street 1:2984 BABY RUTH LN
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2301
Practice Address - Country:US
Practice Address - Phone:615-641-6446
Practice Address - Fax:615-641-2416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL323-066-3325320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNL323-066-3324Medicare ID - Type UnspecifiedICFMR
TNL323-066-3326Medicare ID - Type UnspecifiedICFMR
TNL323-066-3323Medicare ID - Type UnspecifiedICFMR
TNL323-066-3325Medicare ID - Type UnspecifiedICFMR
TNL323-066-3322Medicare ID - Type UnspecifiedICFMR
TNL323-066-3327Medicare ID - Type UnspecifiedICFMR