MEDICARE: TENNESSEE FAMILY SOLUTIONS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility	I000000008683	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992081798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE FAMILY SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	831 SEVEN OAKS BLVD
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-6485
Country	:	US
Telephone Number	:	615-255-8870
Fax Number	:	615-255-8890

Provider Business Practice Location Address
First Line	:	1502-1504 ROCHESTER DRIVE
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130
Country	:	US
Telephone Number	:	615-255-8870
Fax Number	:	615-255-8890

Authorized Official
Title or Position	:	PRESIDENT/EXECUTIVE DIRECTOR
Name	:	MR. RALPH M KENNEDY
Credential	:
Telephone Number	:	615-255-8870

Provider Enumeration Date	:	10/25/2011
Last Update Date	:	11/27/2019

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