Active NPI
Inspired by Love Home Care, Inc.
- In Home Supportive Care Agency
- Antioch, TN
National Provider Identifier
1053836593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- I000000020559
- Legal business name
- INSPIRED BY LOVE HOME CARE, INC.
- Practice address
- 257 Maxwell PL
Antioch, TN 37013 - Phone
- (615) 806-8373
- NPI assigned
- Aug 5, 2017
- 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
- Tywana Staten
- Title
- C.E.O./ Administrator
- Phone
- (615) 995-0359
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | I000000020559 | TN | Primary |
Addresses
Primary practice location
257 Maxwell PL
Antioch, TN 37013
Mailing address
257 Maxwell PL
Antioch, TN 37013-5814
Phone (615) 995-0359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q029784 | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1053836593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 MAXWELL PL",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370135814",
"telephone_number": "615-995-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 MAXWELL PL",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "37013",
"telephone_number": "615-806-8373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSPIRED BY LOVE HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-05",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "STATEN",
"authorized_official_first_name": "TYWANA",
"authorized_official_title_or_position": "C.E.O./ ADMINISTRATOR",
"authorized_official_telephone_number": "615-995-0359"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TN",
"license": "I000000020559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q029784",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.