MIDDLE TENNESSEE SUPPORT SERVICES, LLC
NPI 1255821310
Community Based Residential Treatment Facility, Mental Illness in Shelbyville, TN

NPI Status: Active since May 15, 2018

Contact Information

375 USELTON ROAD
SHELBYVILLE, TN
ZIP 37160
Phone: (931) 684-5666
Fax: (931) 684-0300

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 44D2198446
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 11-01-2026

About MIDDLE TENNESSEE SUPPORT SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Middle Tennessee Support Services, Llc, a provider established in Shelbyville, Tennessee operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1255821310 assigned on May 2018. The practitioner's primary taxonomy code is 320800000X with license number L000000020335 (TN). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Rodney T. Thompson (President)

NPI
1255821310
Provider Name
MIDDLE TENNESSEE SUPPORT SERVICES, LLC
Entity Type
Organization
Location Address
375 USELTON ROAD SHELBYVILLE, TN 37160
Location Phone
(931) 684-5666
Location Fax
(931) 684-0300
Mailing Address
375 USELTON ROAD 375 USELTON ROAD SHELBYVILLE, TN 37160
Mailing Phone
(931) 684-5666
Mailing Fax
(931) 684-0300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2018
Last Update Date
05-15-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
L000000020335
License State
TN
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RODNEY T. THOMPSON

Authorized Official Title
PRESIDENT
Authorized Official Phone
(931) 684-5666

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2198446
Facility Type
Pharmacy
Certificate Effective Date
November 02, 2024
Certificate Expiration Date
November 01, 2026
Laboratory Director
CARRIE B. GREGORY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Middle Tennessee Support Services, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255821310
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105162232
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 6 + 2 + 2 + 3 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1255821310 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255821310, enumerated in the NPI registry as an "organization" on May 15, 2018

The provider is located at 375 Uselton Road Shelbyville, Tn 37160 and the phone number is (931) 684-5666

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

The provider's CLIA number is 44D2198446 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 15, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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