Active NPI
In-Home Care of Cookeville, LLC
- In Home Supportive Care Agency
- Cookeville, TN
National Provider Identifier
1346656402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- IN-HOME CARE OF COOKEVILLE, LLC
- Doing business as
- A Better Care
- Practice address
- 605 N Willow Ave
Suite B
Cookeville, TN 38501-1717 - Phone
- (931) 303-0411
- NPI assigned
- Jul 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Young
- Title
- General Manager
- Phone
- (931) 303-0411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
605 N Willow Ave
Suite B
Cookeville, TN 38501-1717
Mailing address
605 N Willow Ave
Suite B
Cookeville, TN 38501-1717
Phone (931) 303-0411
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000000015022 | Other | TN | STATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES |
| H445832 | Medicaid | TN |
Other names 1
- A Better Care
National Provider Directory
National Provider DirectoryLocations
605 N Willow Ave
Ste B
Cookeville, TN 38501
Phone (931) 303-0411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447286400000",
"number": "1346656402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 N WILLOW AVE",
"address_2": "SUITE B",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385011717",
"telephone_number": "931-303-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 N WILLOW AVE",
"address_2": "SUITE B",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385011717",
"telephone_number": "931-303-0411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN-HOME CARE OF COOKEVILLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-09",
"last_updated": "2015-11-12",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "931-303-0411"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES",
"identifier": "1000000015022",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H445832",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "A Better Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.