Replenish Personal Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1000000016174 Issued in TN

Legal business name

REPLENISH PERSONAL CARE AGENCY LLC

Practice address

13117 Monthaven Park PL
Hendersonville, TN 37075-7042

Phone

(615) 433-3812

NPI assigned

Apr 27, 2015

Last updated

Apr 27, 2015By 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

Kalandra Williams

Title

Owner

Phone

(615) 433-3812

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1316324528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13117 MONTHAVEN PARK PL",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370757042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13117 MONTHAVEN PARK PL",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370757042",
            "telephone_number": "615-433-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPLENISH PERSONAL CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KALANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-433-3812"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "1000000016174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.