Organization Active NPI

Jackson-Madison County General Hospital District

Doing business as Medical Center Home Health

  • Home Health Agency
  • Jackson, TN
National Provider Identifier
1104816792
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0000000174 Issued in TN
Legal business name
JACKSON-MADISON COUNTY GENERAL HOSPITAL DISTRICT
Doing business as
Medical Center Home Health
Practice address
33 Directors Row
Jackson, TN 38305-2315
Phone
(731) 984-2000
Fax
(731) 984-2079
NPI assigned
Oct 25, 2005
Last updated
Apr 29, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
JACKSON-MADISON COUNTY GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Mr. James Ross
Title
Interim President and Ceo
Phone
(731) 425-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0000000174 TN Primary

Addresses

Primary practice location

33 Directors Row
Jackson, TN 38305-2315

Mailing address

33 Directors Row
Jackson, TN 38305-2316
Phone (731) 984-2000

Other names 1

  • Medical Center Home Health Doing business as

National Provider Directory

National Provider Directory
Part of
Milan General Hospital

Locations

33 Directors Row
Jackson, TN 38305
Phone (731) 313-7688

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1104816792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DIRECTORS ROW",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052316",
            "telephone_number": "731-984-2000",
            "fax_number": "731-984-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 DIRECTORS ROW",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052315",
            "telephone_number": "731-984-2000",
            "fax_number": "731-984-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON-MADISON COUNTY GENERAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON-MADISON COUNTY GENERAL HOSPITAL",
        "enumeration_date": "2005-10-25",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "INTERIM PRESIDENT AND CEO",
        "authorized_official_telephone_number": "731-425-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.