OrganizationActive
Initial Independence, Incorporated
NPI 1831479195 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Murfreesboro, TN
Provider details
- NPI number
- 1831479195
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dan Shafer, Director of Operations(615) 512-6876
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
5238 Starnes Dr
Murfreesboro, TN 37128-4594
Phone: (615) 512-6876
Approximate (ZIP-level) locationGet directions
Mailing address
5238 Starnes Drive
Murfreesboro, TN 37128
Registry dates
- Enumerated
- 2011-08-18
- Last updated
- 2011-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.