City of Dickson Senior Center

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

L000000003681 Issued in TN

Legal business name

CITY OF DICKSON SENIOR CENTER

Practice address

206 W Walnut St
Dickson, TN 37055-1934

Phone

(615) 446-9350

Fax

(615) 446-6696

NPI assigned

Dec 1, 2009

Last updated

Dec 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Betty Williams

Title

Director

Phone

(615) 446-9350

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1295063311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W WALNUT ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551934",
            "telephone_number": "615-446-9350",
            "fax_number": "615-446-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W WALNUT ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551934",
            "telephone_number": "615-446-9350",
            "fax_number": "615-446-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DICKSON SENIOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-446-9350"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000003681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445035",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.