Organization Active NPI

Point of Care Residential Living LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jackson, TN
National Provider Identifier
1407730815
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
POINT OF CARE RESIDENTIAL LIVING LLC
Practice address
620 Old Hickory Blvd Ste 300
Jackson, TN 38305-2978
Phone
(731) 747-5688
NPI assigned
Jul 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Conjetta Lenora Cunningham
Title
Director of Operations
Phone
(731) 747-5688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

620 Old Hickory Blvd Ste 300
Jackson, TN 38305-2978

Mailing address

620 Old Hickory Blvd Ste 300
Jackson, TN 38305-2978
Phone (731) 747-5688

National Provider Directory

National Provider Directory

Locations

620 Old Hickory Blvd
Ste 300
Jackson, TN 38305
Phone (731) 747-5688

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1407730815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 OLD HICKORY BLVD STE 300",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052978",
            "telephone_number": "731-747-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 OLD HICKORY BLVD STE 300",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052978",
            "telephone_number": "731-747-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINT OF CARE RESIDENTIAL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "CONJETTA",
        "authorized_official_middle_name": "LENORA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "731-747-5688"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.