IndividualActive
Janice Ballard
NPI 1699449652 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Brownsville, TN
Provider details
- NPI number
- 1699449652
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- L000000020690 (TN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense L000000020690 (TN)
Residential Treatment Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
55 Kleer Vu Dr
Brownsville, TN 38012-2165
Phone: (901) 338-2678
Fax: (731) 326-5081
Street-level locationGet directions
Mailing address
55 Kleer Vu Dr
Brownsville, TN 38012-2165
Registry dates
- Enumerated
- 2021-08-03
- Last updated
- 2021-08-03
- Certified
- 2021-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.