Organization Active NPI

Anderson County Personal Services LLC

  • In Home Supportive Care Agency
  • Clinton, TN
National Provider Identifier
1609178433
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
I000000007715 Issued in TN
Legal business name
ANDERSON COUNTY PERSONAL SERVICES LLC
Practice address
358 Indian Hills Circle
Suite B
Clinton, TN 37716-3609
Phone
(865) 269-4943
Fax
(865) 269-4705
NPI assigned
Nov 30, 2010
Last updated
Apr 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Mr. Monus D Brewer Jr.
Title
Ceo
Phone
(865) 269-4943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X I000000007715 TN Primary

Addresses

Primary practice location

358 Indian Hills Circle
Suite B
Clinton, TN 37716-3609

Mailing address

358 Indian Hills Cir
Suite B
Clinton, TN 37716-6564
Phone (865) 269-4943

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1609178433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 INDIAN HILLS CIR",
            "address_2": "SUITE B",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166564",
            "telephone_number": "865-269-4943",
            "fax_number": "865-269-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 INDIAN HILLS CIRCLE",
            "address_2": "SUITE B",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377163609",
            "telephone_number": "865-269-4943",
            "fax_number": "865-269-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON COUNTY PERSONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "MONUS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-269-4943",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "I000000007715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.