Organization Active NPI

Fruitful Vine Home Care Services, LLC

  • In Home Supportive Care Agency
  • Murfreesboro, TN
National Provider Identifier
1124876610
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FRUITFUL VINE HOME CARE SERVICES, LLC
Practice address
745 S Church St Ste 127B
Murfreesboro, TN 37130-5340
Phone
(615) 753-7960
NPI assigned
May 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Mrs. Regina Aku McClure-Maston, RN
Title
Executive Director
Phone
(615) 753-7960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

745 S Church St Ste 127B
Murfreesboro, TN 37130-5340

Mailing address

745 S Church St Ste 127B
Murfreesboro, TN 37130-5340
Phone (615) 753-7960

National Provider Directory

National Provider Directory

Locations

745 S Church St
Ste 127B
Murfreesboro, TN 37130
Phone (615) 753-7960

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1124876610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 S CHURCH ST STE 127B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371305340",
            "telephone_number": "615-753-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 S CHURCH ST STE 127B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371305340",
            "telephone_number": "615-753-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUITFUL VINE HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "MCCLURE-MASTON",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "AKU",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-753-7960",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.