NPIMap

Organization Active NPI

Tri-State Community Health Corporation

  • In Home Supportive Care Agency
  • Cordova, TN
National Provider Identifier
1114309614
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TRI-STATE COMMUNITY HEALTH CORPORATION
Practice address
8841 Kenbrook CV
Cordova, TN 38018-7657
Phone
(215) 760-4835
NPI assigned
Jun 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Ms. Tammy Paula McKay, RN MSN
Title
Owner
Phone
(215) 760-4835

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

8841 Kenbrook CV
Cordova, TN 38018-7657

Mailing address

8841 Kenbrook CV
Cordova, TN 38018-7657
Phone (215) 760-4835

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1114309614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8841 KENBROOK CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187657",
            "telephone_number": "215-760-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841 KENBROOK CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187657",
            "telephone_number": "215-760-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE COMMUNITY HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-760-4835",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN MSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.