Renewed Living at Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

I000000013612 Issued in TN

Legal business name

RENEWED LIVING AT HOME CARE

Practice address

307 E College St
Dickson, TN 37055-1831

Phone

(615) 375-1668

Fax

(615) 326-8270

NPI assigned

Mar 31, 2014

Last updated

Mar 31, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Smith Williams

Title

Owner

Phone

(615) 375-1688

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1144648932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E COLLEGE ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551831",
            "telephone_number": "615-375-1668",
            "fax_number": "615-326-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E COLLEGE ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551831",
            "telephone_number": "615-375-1668",
            "fax_number": "615-326-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED LIVING AT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-375-1688"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "I000000013612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445779",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.