Willie D Richardson Sr.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

L000000022609 Issued in TN

Practice address

8316 Macon Ter Ste 102
Cordova, TN 38018-8505

Phone

(901) 624-0371

Fax

(901) 624-0375

NPI assigned

Dec 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• WR Community Services, LLC

  • Home Health Agency
  • Cordova, TN
  • NPI 1295997955
  NPD (past)

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1609347137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 MACON TER STE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188505",
            "telephone_number": "901-624-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 MACON TER STE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188505",
            "telephone_number": "901-624-0371",
            "fax_number": "901-624-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "WILLIE",
        "middle_name": "D",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "L000000022609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018034",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlyna E Rice, LCSW LICENSED CLINIC
• Chanel Lanete Richardson, CCC-SLP
• Porshure Green Richardson, LCSW
• Rochelle Renee Richardson, LMT
• Samantha I Richardson, LPC-MHSP
• Sarah D. Richie, PHD
• Ashley Richmond
• Benjamin Edwin Richter, CPHT
• Kimberly H Rickels, LCSW
• Emma Langston Riebl, MS

• Home Health Agency in Cordova, TN
• Providers in Cordova, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.