Active NPI
Kidd Senior Care Service, Inc.
- In Home Supportive Care Agency
- Brentwood, TN
National Provider Identifier
1043597271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- I000000008486
- Legal business name
- KIDD SENIOR CARE SERVICE, INC.
- Practice address
- 750 Old Hickory Blvd
BLDG. 2, Suite 150
Brentwood, TN 37027-4528 - Phone
- (615) 371-6101
- Fax
- (615) 373-1582
- NPI assigned
- Nov 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas E Kidd
- Title
- President/Owner
- Phone
- (615) 319-1472
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | I000000008486 | TN | Primary |
Addresses
Primary practice location
750 Old Hickory Blvd
BLDG. 2, Suite 150
Brentwood, TN 37027-4528
Mailing address
750 Old Hickory Blvd
BLDG. 2, Suite 150
Brentwood, TN 37027-4528
Phone (615) 371-6101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H445567 | Medicaid | TN |
Other names 1
- Always Best Care Senior Services of Nashville West
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321401600000",
"number": "1043597271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 OLD HICKORY BLVD",
"address_2": "BLDG. 2, SUITE 150",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274528",
"telephone_number": "615-371-6101",
"fax_number": "615-373-1582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 OLD HICKORY BLVD",
"address_2": "BLDG. 2, SUITE 150",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274528",
"telephone_number": "615-371-6101",
"fax_number": "615-373-1582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDD SENIOR CARE SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-16",
"last_updated": "2011-11-16",
"status": "A",
"authorized_official_last_name": "KIDD",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "615-319-1472",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TN",
"license": "I000000008486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H445567",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Always Best Care Senior Services of Nashville West",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.