Organization
CG OF TENNESSEE, LLC
Active
Organization
CG OF TENNESSEE, LLC
Active
Other names
Omni Support SOlutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK LASHLEY (CEO)
(817) 447-2700
Entity
Organization
Contact information
Practice address
301 S PERIMETER PARK DR, NASHVILLE, TN 37211-4143
(615) 832-5454
(615) 837-5772
Mailing address
4150 INTERNATIONAL PLZ, FORT WORTH, TX 76109-4892
(800) 299-5161
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
PENDING
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
09/01/2017
Last updated
12/12/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up