Organization Active NPI

Kidd Senior Care Service, Inc.

  • In Home Supportive Care Agency
  • Brentwood, TN
National Provider Identifier
1043597271
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
I000000008486 Issued in TN
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

Updated by the provider on Nov 16, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
H445567MedicaidTN

Other names 1

  • Always Best Care Senior Services of Nashville West Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.