Individual provider Active NPI

Marie Mills

  • In Home Supportive Care Agency
  • Brentwood, TN
National Provider Identifier
1194399121
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
L000000025330 Issued in TN
Practice address
7003 Chadwick Dr Ste 331
Brentwood, TN 37027-5282
Phone
(847) 858-5950
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X L000000025330 TN Primary

Addresses

Primary practice location

7003 Chadwick Dr Ste 331
Brentwood, TN 37027-5282

Mailing address

7003 Chadwick Dr Ste 331
Brentwood, TN 37027-5282
Phone (847) 858-5950

Other identifiers 1

IdentifierTypeStateIssuer
Q064500MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L000000025330TNMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Stay Home Care LLC In Home Supportive Care CurrentSince May 16, 2021 Accepting new patients

Locations

7003 Chadwick Dr
Ste 331
Brentwood, TN 37027
Phone (615) 964-7726

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1194399121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 CHADWICK DR STE 331",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275282",
            "telephone_number": "847-858-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 CHADWICK DR STE 331",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275282",
            "telephone_number": "847-858-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000025330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q064500",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.