Mike & Wendy LLC

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

MIKE & WENDY LLC

Practice address

7021 Burgess Falls Rd
Baxter, TN 38544-5327

Phone

(931) 214-1836

NPI assigned

Oct 26, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Michael Anderson

Title

Coo

Phone

(931) 261-5386

Specialties & licenses 1

Addresses

Other names 1

• Family's Choice Doing business as

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1104580281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 BURGESS FALLS RD",
            "city": "BAXTER",
            "state": "TN",
            "postal_code": "385445327",
            "telephone_number": "931-214-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 BURGESS FALLS RD",
            "city": "BAXTER",
            "state": "TN",
            "postal_code": "385445327",
            "telephone_number": "931-214-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE & WENDY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "931-261-5386",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family's Choice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Day Training/Habilitation Specialist in Baxter, TN
• Providers in Baxter, TN by specialty
• Day Training/Habilitation Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.