Home Caregivers of Cookeville

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

L4380963546 Issued in TN

Legal business name

HOME CAREGIVERS OF COOKEVILLE

Practice address

118 S Dixie Ave
Suite 24
Cookeville, TN 38501-3405

Phone

(931) 528-8585

NPI assigned

Mar 26, 2017

Organization subpart

No

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

Authorized official

Name

Konstantin Yepifantsev

Title

Owner

Phone

(931) 528-8585

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490486400000",
    "number": "1619408143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S DIXIE AVE",
            "address_2": "SUITE 24",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013405",
            "telephone_number": "931-528-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S DIXIE AVE",
            "address_2": "SUITE 24",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013405",
            "telephone_number": "931-528-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CAREGIVERS OF COOKEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-26",
        "last_updated": "2017-03-26",
        "status": "A",
        "authorized_official_last_name": "YEPIFANTSEV",
        "authorized_official_first_name": "KONSTANTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-528-8585"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "L4380963546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE",
            "identifier": "0445769",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl M Hollmann, MD
• Catherine Melissa Holloway, LMSW
• Ashtin Holman
• Michelle L Holtgraewe, NP
• Home Caregivers Inc.
• Home Health Services of the Upper Cumberlands, LLC
• Hometown Family Care, LLC
• Hometown Family Dentistry
• Hometown Respiratory Consultants, Inc.
• Jennifer Kelly Hooks, R.N.

• Home Health Agency in Cookeville, TN
• Providers in Cookeville, 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 Mar 26, 2017; 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.