Shadybrook
NPI 1528221587ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Greeneville, TN
Intermediate Care Facility, Intellectual Disabilities in Greeneville, Tennessee, registered in NPPES in July 2008. The authorized official on file is Cathy Thomas, Executive Director.
Overview
| NPI | 1528221587 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2008 |
| Last updated in NPPES | Nov 20, 2020 |
| Certified by provider | Nov 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
| Intermediate Care Facility, Intellectual Disabilities | 315P00000X | L000000015032 | TN |
| Intermediate Care Facility, Intellectual Disabilities | 315P00000X | L000000017005 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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