Organization Active NPI

WCSC Tennessee, LLC

  • In Home Supportive Care Agency
  • Nashville, TN
National Provider Identifier
1174267686
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WCSC TENNESSEE, LLC
Practice address
2803A Foster Ave
Nashville, TN 37210-5305
Phone
(615) 831-2358
Fax
(615) 831-0174
NPI assigned
Apr 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
James Nooyan
Title
Vice President of Finance
Phone
(920) 246-6497

Specialties & licenses 1

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

Addresses

Primary practice location

2803A Foster Ave
Nashville, TN 37210-5305

Mailing address

PO Box 28589
Green Bay, WI 54324-0589

Other practice location 1

1276 Lewisburg Pike Ste C
Franklin, TN 37064-5065
Phone (615) 591-4663

Other practice location 2

120 Two Mile Pike
Goodlettsville, TN 37072-1832
Phone (615) 859-2380

Other practice location 3

1100 Ted A Crozier SR Blvd Ste D
Clarksville, TN 37043-8912
Phone (931) 648-7800

Other identifiers 1

IdentifierTypeStateIssuer
Q074147MedicaidTN

Other names 1

  • Home Instead-TN Doing business as

National Provider Directory

National Provider Directory

Locations

1276 Lewisburg Pike
Ste C
Franklin, TN 37064
Phone (615) 591-4663

2803A Foster Ave
Nashville, TN 37210
Phone (615) 831-2358

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1174267686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28589",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543240589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803A FOSTER AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372105305",
            "telephone_number": "615-831-2358",
            "fax_number": "615-831-0174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1276 Lewisburg Pike Ste C",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370645065",
            "country_code": "US",
            "telephone_number": "615-591-4663",
            "fax_number": "615-591-1302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Two Mile Pike",
            "address_purpose": "LOCATION",
            "city": "Goodlettsville",
            "state": "TN",
            "postal_code": "370721832",
            "country_code": "US",
            "telephone_number": "615-859-2380",
            "fax_number": "615-448-6587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Ted A Crozier SR Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438912",
            "country_code": "US",
            "telephone_number": "931-648-7800",
            "fax_number": "931-436-2118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WCSC TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "NOOYAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "920-246-6497"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q074147",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead-TN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Instead-TN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.