Active NPI
Cheyenne Total Care LLC
- Homemaker
- Tupelo, MS
National Provider Identifier
1114240132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Legal business name
- CHEYENNE TOTAL CARE LLC
- Practice address
- 104 West Franklin Street Suite E
Tupelo, MS 38804 - Phone
- (662) 436-4635
- Fax
- (662) 796-8860
- NPI assigned
- Mar 4, 2010
- Last updated
- May 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patricia Ann Clay
- Title
- Owner/Operator
- Phone
- (662) 436-4635
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| Nursing Care Agency | 251J00000X | NU | ||
| Non-emergency Medical Transport (VAN) | 343900000X | NU | ||
| Homemaker | 376J00000X | NU | Primary | |
| In Home Supportive Care Agency | 253Z00000X | NU | ||
| Supports Brokerage Agency | 251X00000X | NU |
Addresses
Primary practice location
104 West Franklin Street Suite E
Tupelo, MS 38804
Mailing address
104 West Franklin Street Suite E
Tupelo, MS 38804
Phone (662) 436-4635
Other practice location 1
600 S Camilla St
Memphis, TN 38104-4415
Phone (901) 519-6030
National Provider Directory
National Provider Directory- Tax ID family
- Cheyenne Total Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Aberdeen, MS
- NPI 1649446212
Locations
104 W Franklin St
Ste E
Tupelo, MS 38804
Phone (662) 436-4635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684886400000",
"number": "1114240132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WEST FRANKLIN STREET SUITE E",
"city": "TUPELO",
"state": "MS",
"postal_code": "38804",
"telephone_number": "662-436-4635",
"fax_number": "662-796-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 WEST FRANKLIN STREET SUITE E",
"city": "TUPELO",
"state": "MS",
"postal_code": "38804",
"telephone_number": "662-436-4635",
"fax_number": "662-796-8860"
}
],
"practiceLocations": [
{
"address_1": "600 S Camilla St",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381044415",
"country_code": "US",
"telephone_number": "901-519-6030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHEYENNE TOTAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-04",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A",
"authorized_official_last_name": "CLAY",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "662-436-4635",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.