Organization Active NPI

Envoi Associates, LLC

Doing business as Superior Caregivers

  • In Home Supportive Care Agency
  • Clarksville, TN
National Provider Identifier
1063932838
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1000000015651 Issued in TN
Legal business name
ENVOI ASSOCIATES, LLC
Doing business as
Superior Caregivers
Practice address
705 N 2ND St Ste B
Clarksville, TN 37040-1918
Phone
(629) 256-3888
Fax
(888) 251-2618
NPI assigned
Jun 22, 2017
Last updated
Feb 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Jessica Bollman, MS, BCBA
Title
Executive Director
Phone
(629) 256-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1000000015651 TN Primary

Addresses

Primary practice location

705 N 2ND St Ste B
Clarksville, TN 37040-1918

Mailing address

705 N 2ND St Ste B
Clarksville, TN 37040-1918

Other practice location 1

150 E 29th St Ste 200A
Loveland, CO 80538-2765
Phone (720) 765-7003

Other names 1

  • Superior Caregivers Doing business as

National Provider Directory

National Provider Directory

Locations

150 E 29th St
Ste 200A
Loveland, CO 80538
Phone (629) 256-3888

705 N 2nd St
Ste B
Clarksville, TN 37040
Phone (629) 256-3888

764 Highway 46 S
Dickson, TN 37055
Phone (615) 301-1616

764 Highway 46 S
Ste B
Dickson, TN 37055
Phone (615) 441-4488

330 Mallory Station Rd
Ste D12
Franklin, TN 37067
Phone (615) 301-1616

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1063932838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N 2ND ST STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370401918",
            "fax_number": "888-251-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N 2ND ST STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370401918",
            "telephone_number": "629-256-3888",
            "fax_number": "888-251-2618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E 29th St Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805382765",
            "country_code": "US",
            "telephone_number": "720-765-7003",
            "fax_number": "888-251-2618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENVOI ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "BOLLMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "629-256-3888",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "1000000015651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Caregivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.