Organization Active NPI

In-Home Care of Cookeville, LLC

  • In Home Supportive Care Agency
  • Cookeville, TN
National Provider Identifier
1346656402
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Nov 12, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1000000015022OtherTNSTATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES
H445832MedicaidTN

Other names 1

  • A Better Care Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.