Provider Demographics
NPI:1982130878
Name:BT&T RESIDENTIAL HEALTHCARE INC
Entity Type:Organization
Organization Name:BT&T RESIDENTIAL HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NELCE
Authorized Official - Middle Name:B
Authorized Official - Last Name:TODD
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:901-395-3361
Mailing Address - Street 1:5100 POPLAR AVE # 2755
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38137-4000
Mailing Address - Country:US
Mailing Address - Phone:901-821-7444
Mailing Address - Fax:
Practice Address - Street 1:5100 POPLAR AVE # 2755
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38137-4000
Practice Address - Country:US
Practice Address - Phone:901-821-7444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TN000901893320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities