Senior Resource Center, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

L000000003796 Issued in TN

Legal business name

SENIOR RESOURCE CENTER, LLC

Practice address

196 Cheyenne Drive
Jackson, TN 38305

Phone

(731) 984-7062

Fax

(731) 984-7064

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Bryson McQuiston

Title

Franchise Owner

Phone

(731) 984-7062

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care Doing business as

Locations

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1376785683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CHEYENNE DRIVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-984-7062",
            "fax_number": "731-984-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 CHEYENNE DRIVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-984-7062",
            "fax_number": "731-984-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR RESOURCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "MCQUISTON",
        "authorized_official_first_name": "BRYSON",
        "authorized_official_title_or_position": "FRANCHISE OWNER",
        "authorized_official_telephone_number": "731-984-7062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000003796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David L. Self Jr., M.D.
• Elizabeth Ann Sellari, LPC-MHSP
• Brian Lee Sellers, OD
• Melissa Lloy Sellers, RN
• Semmes-Murphey Clinic PC
• Meagan Meketi Seratt, DNP, APRN, CRNA
• Serentiy Living Homecare
• Fred J Sesti, FNP
• Shannon Holcomb Shaffar, BA
• Shahzad Shah, M.D.

• In Home Supportive Care Agency in Jackson, TN
• Providers in Jackson, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.