ADDICTION EVICTION LIMITED LIABILITY COMPANY, LLC – NPI #1225796121
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

ADDICTION EVICTION LIMITED LIABILITY COMPANY, LLC is a provider located in OAKLAND, TN. NPPES has assigned the NPI number 1225796121 to ADDICTION EVICTION LIMITED LIABILITY COMPANY, LLC on December 08, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ADDICTION EVICTION LIMITED LIABILITY COMPANY, LLC is also known by the name ADDICTION EVICTION, LLC. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 3 years ago on Feb 23, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADDICTION EVICTION LIMITED LIABILITY COMPANY, LLC below.

NPI Profile for
ADDICTION EVICTION LIMITED LIABILITY COMPANY, LLC

NPI Number
1225796121
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADDICTION EVICTION LIMITED LIABILITY COMPANY, LLC
Other Name: ADDICTION EVICTION, LLC
Primary location
14690 HIGHWAY 194
OAKLAND, TN 38060-4356
Phone: (901) 481-4613 Fax:
Mailing address
1940 ABERGELDIE DR
MEMPHIS, TN 38119-6303
Phone: (901) 481-4613 Fax:
Organization Subpart
No
Authorized Official
MARTHINUS ZEEMAN
OWNER / CEO
Phone: (901) 481-4613
Updated
Certification Date
Feb 23, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADDICTION EVICTION LIMITED LIABILITY COMPANY, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTNQ066247
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
14690 HIGHWAY 194,
OAKLAND, TN 77025-1669