OrganizationActive
Cg of Tennessee, LLC
NPI 1306364054 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Nashville, TN
Provider details
- NPI number
- 1306364054
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mark Lashley, Ceo(817) 447-2700
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense PENDING (TN)
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
301 S Perimeter Park Dr
Nashville, TN 37211-4143
Phone: (615) 832-5454
Fax: (615) 837-5772
Approximate (ZIP-level) locationGet directions
Mailing address
4150 International Plz
Fort Worth, TX 76109-4892
Other names (DBA / former)
- Doing business as
- Omni Support Solutions
Registry dates
- Enumerated
- 2017-09-01
- Last updated
- 2025-12-12
- Certified
- 2025-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.