Organization Active NPI

Samsara Enterprise LLC

  • In Home Supportive Care Agency
  • Clarksville, TN
National Provider Identifier
1124852900
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Ms. Antionette HillNPI 1295568145
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.