Organization Active NPI

Loving Senior Care, LLC

Doing business as Home Instead Senior Care #668

  • In Home Supportive Care Agency
  • Clarksville, TN
National Provider Identifier
1174059158
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LOVING SENIOR CARE, LLC
Doing business as
Home Instead Senior Care #668
Practice address
1100 Ted a Crozier Sr Blvd
Suite D
Clarksville, TN 37043-8912
Phone
(931) 648-7800
NPI assigned
May 11, 2017
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Mr. Brad Cannon
Title
Member
Phone
(270) 842-7540

Specialties & licenses 1

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

Addresses

Primary practice location

1100 Ted a Crozier Sr Blvd
Suite D
Clarksville, TN 37043-8912

Mailing address

1861 Westen St
Suite a
Bowling Green, KY 42104-4151
Phone (270) 842-7540

Other names 1

  • Home Instead Senior Care #668 Doing business as

National Provider Directory

National Provider Directory

Locations

1861 Westen St
#A
Bowling Green, KY 42104
Phone (270) 842-7540

1100 Ted a Crozier SR Blvd
Ste D
Clarksville, TN 37043
Phone (931) 648-7800

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1174059158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 WESTEN ST",
            "address_2": "SUITE A",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044151",
            "telephone_number": "270-842-7540",
            "fax_number": "270-842-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TED A CROZIER SR BLVD",
            "address_2": "SUITE D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438912",
            "telephone_number": "931-648-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "270-842-7540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care #668",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 11, 2017; 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.