Organization Active NPI

An Extra Pair of Hands

  • In Home Supportive Care Agency
  • Bartlett, TN
National Provider Identifier
1508356874
Registry record updated May 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1000000022211 Issued in TN
Legal business name
AN EXTRA PAIR OF HANDS
Practice address
6510 Stage Rd Ste 2
Bartlett, TN 38134-3892
Phone
(901) 643-5120
Fax
(901) 643-5120
NPI assigned
May 12, 2018
Last updated
May 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2018

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

Authorized official

Name
Mattie B Brown
Title
Administrator
Phone
(901) 949-3871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1000000022211 TN Primary

Addresses

Primary practice location

6510 Stage Rd Ste 2
Bartlett, TN 38134-3892

Mailing address

6510 Stage Rd Ste 2
Bartlett, TN 38134-3892
Phone (901) 643-5120

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526083200000",
    "number": "1508356874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 STAGE RD STE 2",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343892",
            "telephone_number": "901-643-5120",
            "fax_number": "901-643-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 STAGE RD STE 2",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343892",
            "telephone_number": "901-643-5120",
            "fax_number": "901-643-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN EXTRA PAIR OF HANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-12",
        "last_updated": "2018-05-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-949-3871"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "1000000022211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2018; 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.