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NPI 1780014514ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Nashville, TN
Intermediate Care Facility, Intellectual Disabilities in Nashville, Tennessee, registered in NPPES in November 2013, part of Clover Bottom Developmental Center. The authorized official on file is Stacey Lynn Dixon, PH.D., Chief Officer.
Overview
| NPI | 1780014514 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Clover Bottom Developmental Center |
| NPI issued | Nov 14, 2013 |
| Last updated in NPPES | Nov 14, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | L00000001184 | 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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