NPIMap

Organization Active NPI

Center for Excellence

  • Home Health Agency
  • La Vergne, TN
National Provider Identifier
1376813642
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
I000000009757 Issued in TN
Legal business name
CENTER FOR EXCELLENCE
Practice address
842 Lavergne LN
La Vergne, TN 37086-4272
Phone
(615) 669-3783
Fax
(270) 342-2596
NPI assigned
Jan 4, 2012
Last updated
May 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Mr. Cameron Jabbar Jackson, M. ED.
Title
Chief Executive Officer
Phone
(615) 310-0287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X I000000009757 TN Primary

Addresses

Primary practice location

842 Lavergne LN
La Vergne, TN 37086-4272

Mailing address

842 Lavergne LN
La Vergne, TN 37086-4272
Phone (615) 669-3783

National Provider Directory

National Provider Directory
Tax ID family
Center for Excellence3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1376813642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 LAVERGNE LN",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370864272",
            "telephone_number": "615-669-3783",
            "fax_number": "270-342-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 LAVERGNE LN",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370864272",
            "telephone_number": "615-669-3783",
            "fax_number": "270-342-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "JABBAR",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "615-310-0287",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M. ED."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "I000000009757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vergne, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.