NPIMap

Organization Active NPI

Upper Cumberland Human Resource Agency in-Home Services

  • In Home Supportive Care Agency
  • Cookeville, TN
National Provider Identifier
1043699424
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
L000000015281 Issued in TN
Legal business name
UPPER CUMBERLAND HUMAN RESOURCE AGENCY IN-HOME SERVICES
Practice address
580 S Jefferson Ave Ste B
Cookeville, TN 38501-4673
Phone
(931) 528-1127
NPI assigned
May 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Luke Collins
Title
Executive Director
Phone
(931) 528-1127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X L000000015281 TN Primary

Addresses

Primary practice location

580 S Jefferson Ave Ste B
Cookeville, TN 38501-4673

Mailing address

580 S. Jefferson Suite B
Cookeville, TN 38501
Phone (931) 528-1127

National Provider Directory

National Provider Directory
Tax ID family
Upper Cumberland Human Resource Agency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

580 S Jefferson Ave
Ste B
Cookeville, TN 38501
Phone (931) 528-1127

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1043699424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 S. JEFFERSON SUITE B",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-528-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S JEFFERSON AVE STE B",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014673",
            "telephone_number": "931-528-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CUMBERLAND HUMAN RESOURCE AGENCY IN-HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-528-1127"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000015281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.