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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2017
- 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
- Mr. Brad Cannon
- Title
- Member
- Phone
- (270) 842-7540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.