Organization Active NPI

WR Community Services, LLC

  • Home Health Agency
  • Cordova, TN
National Provider Identifier
1295997955
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WR COMMUNITY SERVICES, LLC
Practice address
8316 Macon Terrace, Suite 102
Cordova, TN 38018
Phone
(901) 624-0371
Fax
(901) 624-0375
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Derek Dwane Richards
Title
Ceo
Phone
(901) 624-0371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8316 Macon Terrace, Suite 102
Cordova, TN 38018

Mailing address

8316 Macon Terrace, Suite 102
Cordova, TN 38018
Phone (901) 624-0371

Other identifiers 1

IdentifierTypeStateIssuer
H445092OtherTNTENNCARE BUREAU-MEDICAID WAIVER

National Provider Directory

National Provider Directory

Locations

8316 Macon Ter
Ste 102
Cordova, TN 38018
Phone (901) 624-0371

2600 Poplar Ave
Ste 405
Memphis, TN 38112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1295997955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 MACON TERRACE, SUITE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "38018",
            "telephone_number": "901-624-0371",
            "fax_number": "901-624-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 MACON TERRACE, SUITE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "38018",
            "telephone_number": "901-624-0371",
            "fax_number": "901-624-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WR COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "DWANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-624-0371"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE BUREAU-MEDICAID WAIVER",
            "identifier": "H445092",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.