OrganizationActive
West Tennessee Regional Office
NPI 1629360375 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Arlington, TN
Provider details
- NPI number
- 1629360375
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Anjali Vasishta, Occupational Therapist(901) 745-7573
- License
- OT1340 (TN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense OT1340 (TN)
Residential Treatment Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11293 Memphis Arlington Rd
Arlington, TN 38002-7978
Phone: (901) 745-7573
Fax: (901) 745-7468
Street-level locationGet directions
Mailing address
P.o Box 949
Arlington, TN 38002
Other names (DBA / former)
- Doing business as
- Divison for Development and Intellectual Disabilities
Registry dates
- Enumerated
- 2011-05-12
- Last updated
- 2011-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.