Organization Active NPI

Awesome Home Care

  • In Home Supportive Care Agency
  • Memphis, TN
National Provider Identifier
1316788235
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AWESOME HOME CARE
Practice address
6094 Apple Tree Dr Ste 11
Memphis, TN 38115-0306
Phone
(901) 454-3154
Fax
(901) 454-3148
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Bethurel JettNPI 1053151126
Title
Owner
Phone
(901) 454-3154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6094 Apple Tree Dr Ste 11
Memphis, TN 38115-0306

Mailing address

6094 Apple Tree Dr Ste 11
Memphis, TN 38115-0306
Phone (901) 454-3154

National Provider Directory

National Provider Directory

Locations

6094 Apple Tree Dr
Ste 11
Memphis, TN 38115
Phone (901) 454-3154

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1316788235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6094 APPLE TREE DR STE 11",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150306",
            "telephone_number": "901-454-3154",
            "fax_number": "901-454-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6094 APPLE TREE DR STE 11",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150306",
            "telephone_number": "901-454-3154",
            "fax_number": "901-454-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWESOME HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "JETT",
        "authorized_official_first_name": "BETHUREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-454-3154"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.