Organization Active NPI

CCD Home Care Services

  • In Home Supportive Care Agency
  • Knoxville, TN
National Provider Identifier
1073943908
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CCD HOME CARE SERVICES
Practice address
86 Madrid CT
Knoxville, TN 37923-5623
Phone
(865) 556-6960
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Mrs. Lisa Helen McGowan
Title
Owner/Operator
Phone
(865) 556-6960

Specialties & licenses 1

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

Addresses

Primary practice location

86 Madrid CT
Knoxville, TN 37923-5623

Mailing address

86 Madrid CT
Knoxville, TN 37923-5623
Phone (865) 556-6960

Other names 1

  • lisa mcgowan Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1073943908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 MADRID CT",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235623",
            "telephone_number": "865-556-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 MADRID CT",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235623",
            "telephone_number": "865-556-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCD HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "865-556-6960",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lisa mcgowan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.