NPIMap

Organization Active NPI

Senior Moments Healthcare Inc.

  • In Home Supportive Care Agency
  • Dickson, TN
National Provider Identifier
1053648931
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
L000000004616 Issued in TN
Legal business name
SENIOR MOMENTS HEALTHCARE INC.
Practice address
1013 Laurel Hills Dr
Dickson, TN 37055-4060
Phone
(615) 441-3464
Fax
(615) 740-0738
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Ms. Viola T Adams, LPN
Title
President
Phone
(615) 957-1367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X L000000004616 TN Primary

Addresses

Primary practice location

1013 Laurel Hills Dr
Dickson, TN 37055-4060

Mailing address

PO Box 926
Dickson, TN 37056-0926
Phone (615) 441-3464

Other identifiers 1

IdentifierTypeStateIssuer
H445069OtherTNTENNCARE PROVIDER #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1053648931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 926",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370560926",
            "telephone_number": "615-441-3464",
            "fax_number": "615-740-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 LAUREL HILLS DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370554060",
            "telephone_number": "615-441-3464",
            "fax_number": "615-740-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MOMENTS HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "VIOLA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-957-1367",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000004616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE PROVIDER #",
            "identifier": "H445069",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.