Generated Family Medical Resolution

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GENERATED FAMILY MEDICAL RESOLUTION

Practice address

3085 Commonwealth Dr
2332
Spring Hill, TN 37174

Phone

(931) 993-3573

Fax

(931) 674-2259

NPI assigned

Jul 7, 2017

Organization subpart

No

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

Authorized official

Name

Jonathan Randall Cannon, MBA

Title

Ceo/Administrator

Phone

(931) 993-3573

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205358686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 COMMONWEALTH DR APT 2332",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371743137",
            "telephone_number": "931-993-3573",
            "fax_number": "931-674-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 COMMONWEALTH DR",
            "address_2": "2332",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "37174",
            "telephone_number": "931-993-3573",
            "fax_number": "931-674-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATED FAMILY MEDICAL RESOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "931-993-3573",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis R Gardner, DDS
• Sarah Rose Gardner, M.S.
• Neil Gartside
• Jennifer Gaulke, OT
• Naga Bindu Gazula
• Dallas Nathaniel Gibson
• Melba Joyce Goodwin, RDH
• David Edward Goss, PHARMD
• Shelli Margaret Goss
• Virgilio P Gozum, O.D.

• In Home Supportive Care Agency in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.