LD&H Specialized Care Services

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

1000000018834 Issued in TN

Legal business name

LD&H SPECIALIZED CARE SERVICES

Practice address

2260 US-51
Helen R Tucker Adult Dev Center
Ripley, TN 38063

Phone

(731) 602-9512

Fax

(731) 635-3499

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Desiree Harding

Title

Health Administrator

Phone

(731) 602-9512

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1609327246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 US-51",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "38063",
            "telephone_number": "731-602-9512",
            "fax_number": "731-635-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 US-51",
            "address_2": "HELEN R TUCKER ADULT DEV CENTER",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "38063",
            "telephone_number": "731-602-9512",
            "fax_number": "731-635-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LD&H SPECIALIZED CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DESIREE",
        "authorized_official_title_or_position": "HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "731-602-9512"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TN",
            "license": "1000000018834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Ripley, TN
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• Preferred Provider Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.