Organization Active NPI

Certified Medical Staffing, LLC

  • In Home Supportive Care Agency
  • Arlington, TN
National Provider Identifier
1447624481
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
L000000015644 Issued in TN
Legal business name
CERTIFIED MEDICAL STAFFING, LLC
Practice address
5219 Summer Meadows LN
Arlington, TN 38002-9594
Phone
(901) 496-9210
Fax
(901) 317-7025
NPI assigned
Nov 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Mr. Barry PughNPI 1194114744
Title
Ceo
Phone
(901) 496-9210

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 L000000015644 TN Primary

Addresses

Primary practice location

5219 Summer Meadows LN
Arlington, TN 38002-9594

Mailing address

5219 Summer Meadows LN
Arlington, TN 38002-9594
Phone (901) 496-9210

Other identifiers 1

IdentifierTypeStateIssuer
H445881MedicaidTN

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": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1447624481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 SUMMER MEADOWS LN",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380029594",
            "telephone_number": "901-496-9210",
            "fax_number": "901-317-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 SUMMER MEADOWS LN",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380029594",
            "telephone_number": "901-496-9210",
            "fax_number": "901-317-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED MEDICAL STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-496-9210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000015644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445881",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.