NPIMap

Organization Active NPI

William Brewer Enterprises

  • In Home Supportive Care Agency
  • Farragut, TN
National Provider Identifier
1386041218
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1000000014344 Issued in TN
Legal business name
WILLIAM BREWER ENTERPRISES
Practice address
10805 Dundee Rd
Farragut, TN 37934-1814
Phone
(865) 789-2172
Fax
(865) 966-6302
NPI assigned
Nov 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Mr. William Michael BrewerNPI 1770991978
Title
Owner
Phone
(865) 789-2172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1000000014344 TN Primary

Addresses

Primary practice location

10805 Dundee Rd
Farragut, TN 37934-1814

Mailing address

10805 Dundee Rd
Farragut, TN 37934-1814
Phone (865) 789-2172

Other identifiers 2

IdentifierTypeStateIssuer
H445824MedicaidTN
T000469MedicaidTN

Other names 1

  • Actikare responsive in home care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1386041218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 DUNDEE RD",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379341814",
            "telephone_number": "865-789-2172",
            "fax_number": "865-966-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 DUNDEE RD",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379341814",
            "telephone_number": "865-789-2172",
            "fax_number": "865-966-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BREWER ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-789-2172",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "1000000014344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445824",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T000469",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Actikare responsive in home care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farragut, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.