Organization Active NPI

Samaritan Services, LLC

  • In Home Supportive Care Agency
  • Clarksville, TN
National Provider Identifier
1013373125
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
I000000017492 Issued in TN
Legal business name
SAMARITAN SERVICES, LLC
Practice address
808 Kraft St
Suite F
Clarksville, TN 37040-4935
Phone
(931) 278-6217
Fax
(931) 920-3702
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Ms. Tammy Bailey-Terry
Title
Owner
Phone
(615) 545-4985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X I000000017492 TN Primary

Addresses

Primary practice location

808 Kraft St
Suite F
Clarksville, TN 37040-4935

Mailing address

808 Kraft St
Suite F
Clarksville, TN 37040-4935
Phone (931) 278-6217

National Provider Directory

National Provider Directory

Locations

808 Kraft St
Ste F
Clarksville, TN 37040
Phone (931) 278-6217

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1013373125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 KRAFT ST",
            "address_2": "SUITE F",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370404935",
            "telephone_number": "931-278-6217",
            "fax_number": "931-920-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 KRAFT ST",
            "address_2": "SUITE F",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370404935",
            "telephone_number": "931-278-6217",
            "fax_number": "931-920-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "BAILEY-TERRY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-545-4985",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "I000000017492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.