Organization Active NPI

Guy Care Service

  • Nursing Care Agency
  • Antioch, TN
National Provider Identifier
1396391082
Registry record updated Aug 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
GUY CARE SERVICE
Practice address
548 Cedarmont Dr
Antioch, TN 37013-4428
Phone
(615) 928-8280
Fax
(615) 679-0873
NPI assigned
Aug 17, 2019
Last updated
Aug 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2019

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

Authorized official

Name
Danett Veronica Guy, RN
Title
Owner/Operator
Phone
(914) 589-2568

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU
Foster Care Agency 253J00000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

548 Cedarmont Dr
Antioch, TN 37013-4428

Mailing address

548 Cedarmont Dr
Antioch, TN 37013-4428
Phone (615) 928-8280

Other identifiers 1

IdentifierTypeStateIssuer
Q049410MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566000000000",
    "number": "1396391082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 CEDARMONT DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134428",
            "telephone_number": "615-928-8280",
            "fax_number": "615-679-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 CEDARMONT DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134428",
            "telephone_number": "615-928-8280",
            "fax_number": "615-679-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-17",
        "last_updated": "2019-08-17",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "DANETT",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "914-589-2568",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q049410",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; 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.