Organization Active NPI

Csi-Elderly Services, Inc.

  • In Home Supportive Care Agency
  • Murfreesboro, TN
National Provider Identifier
1033411871
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
NA
Legal business name
CSI-ELDERLY SERVICES, INC.
Practice address
602 W College St
Murfreesboro, TN 37130-3540
Phone
(615) 848-0114
Fax
(615) 848-3016
NPI assigned
Nov 30, 2010
Organization subpart
Yes
Parent organization
CAREGIVER SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
William Soderquist
Title
Director
Phone
(615) 500-0397

Specialties & licenses 1

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

Addresses

Primary practice location

602 W College St
Murfreesboro, TN 37130-3540

Mailing address

602 W College St
Murfreesboro, TN 37130-3540
Phone (615) 848-0114

Other identifiers 1

IdentifierTypeStateIssuer
0445778OtherTNTENNCARE PROVIDER NUMBER (MEDICAID)

Other names 1

  • CSI-Caregiver Services of Tennessee Doing business as

National Provider Directory

National Provider Directory
Part of
Caregiver Services Inc

Locations

602 W College St
Murfreesboro, TN 37130
Phone (615) 848-0114

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1033411871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W COLLEGE ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303540",
            "telephone_number": "615-848-0114",
            "fax_number": "615-848-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W COLLEGE ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303540",
            "telephone_number": "615-848-0114",
            "fax_number": "615-848-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSI-ELDERLY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREGIVER SERVICES, INC.",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "SODERQUIST",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-500-0397"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE PROVIDER NUMBER (MEDICAID)",
            "identifier": "0445778",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSI-Caregiver Services of Tennessee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.