Organization Active NPI

A Place Called Home

  • In Home Supportive Care Agency
  • McKenzie, TN
National Provider Identifier
1194268375
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
L000000014435 Issued in TN
Legal business name
A PLACE CALLED HOME
Practice address
25 Henderson Dr
MC Kenzie, TN 38201-2033
Phone
(731) 393-0136
Fax
(731) 393-0158
NPI assigned
Nov 21, 2016
Last updated
Sep 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Lee Anne Lowrance, MMS
Title
Owner
Phone
(731) 393-0136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X L000000014435 TN Primary

Addresses

Primary practice location

25 Henderson Dr
MC Kenzie, TN 38201-2033

Mailing address

25 Henderson Dr
MC Kenzie, TN 38201-2033
Phone (731) 393-0136

Other identifiers 1

IdentifierTypeStateIssuer
H445210MedicaidTN

National Provider Directory

National Provider Directory

Locations

25 Henderson Dr
Mc Kenzie, TN 38201
Phone (731) 393-0136

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1194268375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HENDERSON DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382012033",
            "telephone_number": "731-393-0136",
            "fax_number": "731-393-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HENDERSON DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382012033",
            "telephone_number": "731-393-0136",
            "fax_number": "731-393-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLACE CALLED HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "LOWRANCE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-393-0136",
        "authorized_official_credential": "MMS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000014435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445210",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKenzie, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.