Active NPI
Samsara Enterprise LLC
- In Home Supportive Care Agency
- Clarksville, TN
National Provider Identifier
1124852900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SAMSARA ENTERPRISE LLC
- Practice address
- 601 Kraft St Ste 101
Clarksville, TN 37040-3034 - Phone
- (423) 922-8608
- NPI assigned
- Aug 26, 2024
- 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. Antionette Hill
- Title
- Ceo
- Phone
- (423) 922-8608
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Day Care Clinic/Center | 261QA0600X |
Addresses
Primary practice location
601 Kraft St Ste 101
Clarksville, TN 37040-3034
Mailing address
601 Kraft St Ste 101
Clarksville, TN 37040-3034
Phone (423) 922-8608
National Provider Directory
National Provider DirectoryLocations
601 Kraft St
Ste 101
Clarksville, TN 37040
Phone (423) 922-8608
Practitioners & affiliated clinicians
Practitioners 1
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": "1724630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732233600000",
"number": "1124852900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 KRAFT ST STE 101",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370403034",
"telephone_number": "423-922-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 KRAFT ST STE 101",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370403034",
"telephone_number": "423-922-8608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMSARA ENTERPRISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-26",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "ANTIONETTE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "423-922-8608",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.