Tennessee Medical Home Healthcare Services Limited Liability Corporati

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

TENNESSEE MEDICAL HOME HEALTHCARE SERVICES LIMITED LIABILITY CORPORATI

Doing business as

Tennessee Medical Home Healthcare Services

Practice address

217 Ivy Bend Cir
Clarksville, TN 37043-6860

Phone

(931) 368-9020

NPI assigned

Nov 1, 2021

Last updated

Nov 1, 2021By 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

Mr. Stacey Alonzo Tindall Jr.

Title

Chief Financial Officer

Phone

(931) 551-0739

Specialties & licenses 1

Addresses

Other names 1

• Tennessee Medical Home Healthcare Services Doing business as

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1356006779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 IVY BEND CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436860",
            "telephone_number": "931-551-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 IVY BEND CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436860",
            "telephone_number": "931-368-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE MEDICAL HOME HEALTHCARE SERVICES LIMITED LIABILITY CORPORATI",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "TINDALL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "ALONZO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "931-551-0739",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Medical Home Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Manager/Care Coordinator in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Case Manager/Care Coordinator in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.