Cde Onsite Senior Services Corporation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

L000000004354 Issued in TN

Legal business name

CDE ONSITE SENIOR SERVICES CORPORATION

Practice address

13143 El Camino LN
Knoxville, TN 37932-3512

Phone

(865) 256-7444

Fax

(800) 303-0672

NPI assigned

Jun 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Penny Diane Disney

Title

Coo

Phone

(865) 585-0403

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1013113331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13143 EL CAMINO LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323512",
            "telephone_number": "865-256-7444",
            "fax_number": "800-303-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13143 EL CAMINO LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323512",
            "telephone_number": "865-256-7444",
            "fax_number": "800-303-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDE ONSITE SENIOR SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-24",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "DISNEY",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "865-585-0403",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000004354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445154",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.