Renown Enterprise

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

RENOWN ENTERPRISE

Practice address

1423 Aristides CT Apt 301
Cordova, TN 38016-2556

Phone

(901) 500-8182

NPI assigned

Oct 6, 2021

Last updated

Oct 6, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiara HendersonNPI 1184386237

Title

Owner

Phone

(901) 500-8182

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiara Henderson

  • Non-emergency Medical Transport (VAN)
  • Cordova, TN
  • NPI 1184386237
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1003578188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 ARISTIDES CT APT 301",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162556",
            "telephone_number": "901-500-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 ARISTIDES CT APT 301",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162556",
            "telephone_number": "901-500-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOWN ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "TIARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-500-8182"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Cordova, TN
• Providers in Cordova, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.