Organization Active NPI

Yolanda'S Care Home

  • Assisted Living Facility (Mental Illness)
  • Nashville, TN
National Provider Identifier
1104584002
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
YOLANDA'S CARE HOME
Practice address
2417 Gardner LN
Nashville, TN 37207-4201
Phone
(615) 424-8758
Fax
(615) 649-8287
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Mrs. Yolanda Nadine GrayNPI 1912644469
Title
Owner
Phone
(615) 424-8758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

2417 Gardner LN
Nashville, TN 37207-4201

Mailing address

PO Box 78820
Nashville, TN 37207-8820
Phone (615) 424-8758

Other names 1

  • supportive care group home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Supportive Care Group Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1104584002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78820",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372078820",
            "telephone_number": "615-424-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 GARDNER LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372074201",
            "telephone_number": "615-424-8758",
            "fax_number": "615-649-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLANDA'S CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "NADINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-424-8758",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "supportive care group home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.