Organization Active NPI

Complete Caregivers and More

  • Supports Brokerage Agency
  • Columbia, TN
National Provider Identifier
1285848952
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
License
L438-136-3627 Issued in TN
Legal business name
COMPLETE CAREGIVERS AND MORE
Practice address
214 W 5TH St Ste B
Columbia, TN 38401-3210
Phone
(931) 381-2841
Fax
(931) 381-2842
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Ketura Oden
Title
Ceo
Phone
(931) 381-2841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X L438-136-3627 TN Primary

Addresses

Primary practice location

214 W 5TH St Ste B
Columbia, TN 38401-3210

Mailing address

214 W 5TH St Ste B
Columbia, TN 38401-3210
Phone (931) 381-2841

Other identifiers 1

IdentifierTypeStateIssuer
4099726OtherTNBLUE CROSSBLUE SHEILD

National Provider Directory

National Provider Directory

Locations

214 W 5th St
Ste B
Columbia, TN 38401
Phone (931) 381-2841

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285848952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W 5TH ST STE B",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013210",
            "telephone_number": "931-381-2841",
            "fax_number": "931-381-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W 5TH ST STE B",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013210",
            "telephone_number": "931-381-2841",
            "fax_number": "931-381-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CAREGIVERS AND MORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODEN",
        "authorized_official_first_name": "KETURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-381-2841",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "TN",
            "license": "L438-136-3627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUE SHEILD",
            "identifier": "4099726",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.