NPIMap

Organization Active NPI

Staffco of Eastern TN. Inc

  • In Home Supportive Care Agency
  • Manchester, TN
National Provider Identifier
1275846404
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1000000005558 Issued in TN
Legal business name
STAFFCO OF EASTERN TN. INC
Practice address
102 E High St
Manchester, TN 37355-1525
Phone
(931) 954-0550
Fax
(931) 954-0552
NPI assigned
Jul 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Mr. Michael J. Johnson
Title
Director of Personnel
Phone
(931) 954-0550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X TN
In Home Supportive Care Agency 253Z00000X 1000000005558 TN Primary

Addresses

Primary practice location

102 E High St
Manchester, TN 37355-1525

Mailing address

102 E High St
Manchester, TN 37355-1525
Phone (931) 954-0550

Other names 1

  • At Home Health Care of Central Tn. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
At Home Health Care of Central TN2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

102 E High St
Manchester, TN 37355
Phone (931) 723-7066

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1275846404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E HIGH ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551525",
            "telephone_number": "931-954-0550",
            "fax_number": "931-954-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E HIGH ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551525",
            "telephone_number": "931-954-0550",
            "fax_number": "931-954-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFCO OF EASTERN TN. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR OF PERSONNEL",
        "authorized_official_telephone_number": "931-954-0550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "1000000005558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Health Care of Central Tn.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.