LSN Home Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LSN HOME HEALTHCARE

Practice address

1630 Bonnie LN Ste 102
Cordova, TN 38016-0515

Phone

(404) 426-4164

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Latasha Nichols

Title

Ceo

Phone

(901) 830-9432

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1093569337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 BONNIE LN STE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160515",
            "telephone_number": "404-426-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 BONNIE LN STE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160515",
            "telephone_number": "404-426-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSN HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-830-9432"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Cordova, TN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.