Organization Active NPI

Richard Woodward

  • Home Health Agency
  • Elizabethton, TN
National Provider Identifier
1124213657
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
I 438-126-9088 Issued in TN
Legal business name
RICHARD WOODWARD
Doing business as
Hillview Home Services
Practice address
1666 Hillview Dr
Elizabethton, TN 37643-4116
Phone
(423) 542-5061
Fax
(423) 542-3372
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mr. Joshua Lee Cannon
Title
Manager
Phone
(423) 542-5061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X I 438-126-9088 TN Primary

Addresses

Primary practice location

1666 Hillview Dr
Elizabethton, TN 37643-4116

Mailing address

406 Elm St
Elizabethton, TN 37643-2732
Phone (423) 543-4202

Other identifiers 1

IdentifierTypeStateIssuer
H445059MedicaidTN

Other names 1

  • Hillview Home Services Doing business as

National Provider Directory

National Provider Directory

Locations

406 Elm St
Elizabethton, TN 37643

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1124213657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 ELM ST",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432732",
            "telephone_number": "423-543-4202",
            "fax_number": "423-543-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 HILLVIEW DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376434116",
            "telephone_number": "423-542-5061",
            "fax_number": "423-542-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD WOODWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-542-5061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "I 438-126-9088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445059",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillview Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.