Corderro Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CORDERRO CARE LLC

Practice address

575 S Royal St Ste 38
Jackson, TN 38301-7307

Phone

(901) 239-3812

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

Amaya Nicole Johnson, BPS-HS CLPN

Title

Director/Owner

Phone

(901) 239-3812

Specialties & licenses 1

Addresses

Tax ID family

Corderro Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Corderro Care LLC

  • In Home Supportive Care Agency
  • Jackson, TN
  • NPI 1588403224
  NPD tax ID

Locations

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1013756782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S ROYAL ST STE 38",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017307",
            "telephone_number": "901-239-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S ROYAL ST STE 38",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017307",
            "telephone_number": "901-239-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDERRO CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AMAYA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "901-239-3812",
        "authorized_official_credential": "BPS-HS CLPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Bates Copeland
• Stephanie L Copeland, CRNA
• Adam John Copeskey, DC
• Samanta Copley, RBT
• Carmen Corder, RN
• Corderro Care LLC
• Core Heart & Medical Center PLLC
• Corey Glenn Persons
• Hope C Cornelison, PTA
• Cornerstone Caregiving East LLC

• In Home Supportive Care Agency in Jackson, TN
• Providers in Jackson, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.