Active NPI
WCSC Tennessee, LLC
- In Home Supportive Care Agency
- Nashville, TN
National Provider Identifier
1174267686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q074147 | Medicaid | TN |
Other names 1
- Home Instead-TN
National Provider Directory
National Provider DirectoryLocations
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.