Home Support Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

I000000004758 Issued in TN

Legal business name

HOME SUPPORT SERVICES, LLC

Practice address

2723 E Magnolia Ave
Suite B
Knoxville, TN 37914-5247

Phone

(865) 525-9626

Fax

(888) 678-4908

NPI assigned

Jul 2, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Dione Rodgers, BS

Title

Coo

Phone

(865) 525-9626

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1376772046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 E MAGNOLIA AVE",
            "address_2": "SUITE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379145247",
            "telephone_number": "865-525-9626",
            "fax_number": "888-678-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 E MAGNOLIA AVE",
            "address_2": "SUITE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379145247",
            "telephone_number": "865-525-9626",
            "fax_number": "888-678-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "DIONE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "865-525-9626",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "I000000004758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445299",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.