Healthcare Provider Details

I. General information

NPI: 1932526639
Provider Name (Legal Business Name): CONNEXUS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2014
Last Update Date: 03/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 PLUS PARK BLVD SUITE 100
NASHVILLE TN
37217-1003
US

IV. Provider business mailing address

299 PLUS PARK BLVD SUITE 100
NASHVILLE TN
37217-1003
US

V. Phone/Fax

Practice location:
  • Phone: 615-883-5633
  • Fax: 615-704-0008
Mailing address:
  • Phone: 615-883-5633
  • Fax: 615-704-0008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: TINA R HILL
Title or Position: CEO
Credential:
Phone: 615-883-5633