Healthcare Provider Details
I. General information
NPI: 1205971421
Provider Name (Legal Business Name): RHD RESPITE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
275 STEWARTS FERRY PIKE OLD HICKORY BUILDING
NASHVILLE TN
37214-3325
US
IV. Provider business mailing address
275 STEWARTS FERRY PIKE OLD HICKORY BUILDING
NASHVILLE TN
37214-3325
US
V. Phone/Fax
- Phone: 615-391-8088
- Fax: 615-391-2342
- Phone: 615-391-8088
- Fax: 615-391-2342
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385HR2060X |
| Taxonomy | Child Intellectual and/or Developmental Disabilities Respite Care |
| License Number | I 324-106-9406 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320600000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| License Number | I 324-106-9406 |
| License Number State | TN |
VIII. Authorized Official
Name:
PIERRE
WOMBLE
Title or Position: DIRECTOR
Credential: MS
Phone: 615-391-8088