NPIMap

Organization Active NPI

Carehere LLC

  • Family Medicine Physician
  • Brentwood, TN
National Provider Identifier
1104918564
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAREHERE LLC
Practice address
5141 Virginia Way Ste 360
Brentwood, TN 37027-2318
Phone
(615) 221-5901
NPI assigned
Sep 29, 2006
Organization subpart
Yes
Parent organization
CAREHERE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Ernest Clevenger
Title
President
Phone
(615) 221-5901

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Corporate Health Clinic/Center 261QC1800X
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

5141 Virginia Way Ste 360
Brentwood, TN 37027-2318

Mailing address

5141 Virginia Way Ste 350
Brentwood, TN 37027-2319
Phone (615) 221-5901

National Provider Directory

National Provider Directory
Tax ID family
Carehere LLC40 organizations share this tax ID, including this one
Part of
Carehere LLC

Other organizations with this tax ID 39

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

View all 39

Locations

5141 Virginia Way
Ste 360
Brentwood, TN 37027

215 Jamestown Park
Ste 204
Brentwood, TN 37027

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1104918564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY STE 350",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272319",
            "telephone_number": "615-221-5901",
            "fax_number": "775-259-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY STE 360",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272318",
            "telephone_number": "615-221-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREHERE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREHERE LLC",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "CLEVENGER",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-221-5901"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.