NPIMap

Organization Active NPI

Spectrum Home Health Care

  • Contractor
  • Antioch, TN
National Provider Identifier
1255813705
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
SPECTRUM HOME HEALTH CARE
Practice address
4717 Debra Dr
Antioch, TN 37013-2904
Phone
(615) 928-0192
NPI assigned
Aug 31, 2018
Organization subpart
Yes
Parent organization
COMPLETE REVENUE CYCLE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Erica Renee McWilliams
Title
Owner
Phone
(615) 928-0192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

4717 Debra Dr
Antioch, TN 37013-2904

Mailing address

4717 Debra Dr
Antioch, TN 37013-2904
Phone (615) 928-0192

Other identifiers 1

IdentifierTypeStateIssuer
000895464785MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Home Health Care2 organizations share this tax ID, including this one
Part of
Spectrum Home Health Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1255813705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 DEBRA DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132904",
            "telephone_number": "615-928-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 DEBRA DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132904",
            "telephone_number": "615-928-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HOME HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPLETE REVENUE CYCLE SERVICES",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-928-0192"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000895464785",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.