Organization Active NPI

Lend a Hand Supported Living

  • In Home Supportive Care Agency
  • Fayetteville, TN
National Provider Identifier
1043986300
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEND A HAND SUPPORTED LIVING
Practice address
20 McAlister LN
Fayetteville, TN 37334-6023
Phone
(615) 513-5178
NPI assigned
Aug 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Debra Rae Halvorsen
Title
Executive Director
Phone
(615) 513-5178

Specialties & licenses 1

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

Addresses

Primary practice location

20 McAlister LN
Fayetteville, TN 37334-6023

Mailing address

PO Box 295
Fairview, TN 37062-0295
Phone (161) 551-3517

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1043986300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370620295",
            "telephone_number": "161-551-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MCALISTER LN",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373346023",
            "telephone_number": "615-513-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEND A HAND SUPPORTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "HALVORSEN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-513-5178"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.