Organization Active NPI

Fuller Home Health Care LLC

  • Home Health Agency
  • Nashville, TN
National Provider Identifier
1447664008
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1000000014510 Issued in TN
Legal business name
FULLER HOME HEALTH CARE LLC
Practice address
7404 Tarmac Way
Nashville, TN 37211-0209
Phone
(615) 916-1233
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Reveta Olivia Fuller
Title
Owner
Phone
(615) 916-1233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1000000014510 TN Primary

Addresses

Primary practice location

7404 Tarmac Way
Nashville, TN 37211-0209

Mailing address

7404 Tarmac Way
Nashville, TN 37211-0209
Phone (615) 916-1233

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1447664008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 TARMAC WAY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372110209",
            "telephone_number": "615-916-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 TARMAC WAY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372110209",
            "telephone_number": "615-916-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "REVETA",
        "authorized_official_middle_name": "OLIVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-916-1233"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "1000000014510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.