Organization Active NPI

Connexus Incorporated

  • In Home Supportive Care Agency
  • Nashville, TN
National Provider Identifier
1043542418
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
L000000005918 Issued in TN
Legal business name
CONNEXUS INCORPORATED
Practice address
1101 Kermit Dr
Suite 102
Nashville, TN 37217-2126
Phone
(615) 883-5633
Fax
(615) 704-0008
NPI assigned
Feb 9, 2010
Last updated
Apr 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Tina R Hill
Title
President
Phone
(615) 883-5633

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X L000000005918 TN Primary
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric Hospital 283Q00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Respite Care 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

1101 Kermit Dr
Suite 102
Nashville, TN 37217-2126

Mailing address

5425 Crossings Blvd
Antioch, TN 37013-3149
Phone (615) 883-5633

National Provider Directory

National Provider Directory

Locations

5425 Crossings Blvd
Antioch, TN 37013

1101 Kermit Dr
Ste 102
Nashville, TN 37217
Phone (615) 883-5633

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1043542418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 CROSSINGS BLVD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133149",
            "telephone_number": "615-883-5633",
            "fax_number": "615-704-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 KERMIT DR",
            "address_2": "SUITE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172126",
            "telephone_number": "615-883-5633",
            "fax_number": "615-704-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNEXUS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-883-5633"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000005918",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

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