Individual provider Active NPI

Tsehaye Teshome

  • In Home Supportive Care Agency
  • Nashville, TN
National Provider Identifier
1619606498
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
000000021383 Issued in TN
Practice address
2201 Murfreesboro Pike Ste D202
Nashville, TN 37217-3556
Phone
(615) 559-2220
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 000000021383 TN
In Home Supportive Care Agency 253Z00000X 000000021383 TN Primary

Addresses

Primary practice location

2201 Murfreesboro Pike Ste D202
Nashville, TN 37217-3556

Mailing address

3041 Barnes Bend Dr
Antioch, TN 37013-4475
Phone (615) 559-2220

Other identifiers 1

IdentifierTypeStateIssuer
000000021383OtherTNDIDDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000000021383TNMDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Care Residential, LLC In Home Supportive Care CurrentSince Jun 12, 2022 Accepting new patients

Locations

2201 Murfreesboro Pike
Ste D202
Nashville, TN 37217
Phone (615) 418-8032

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1619606498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 BARNES BEND DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134475",
            "telephone_number": "615-559-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MURFREESBORO PIKE STE D202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372173556",
            "telephone_number": "615-559-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESHOME",
        "first_name": "TSEHAYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": "000000021383",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "000000021383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIDDS",
            "identifier": "000000021383",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.