Organization Active NPI

Middle TN Home Health LLC.

Doing business as ComForCare Home Care Clarksville

  • In Home Supportive Care Agency
  • Clarksville, TN
National Provider Identifier
1659062032
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MIDDLE TN HOME HEALTH LLC.
Doing business as
ComForCare Home Care Clarksville
Practice address
1808 Memorial Cir Ste D
Clarksville, TN 37043-4528
Phone
(615) 931-1875
NPI assigned
May 17, 2023
Last updated
Oct 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Mr. Kevin Jodway
Title
Owner
Phone
(615) 568-0778

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1808 Memorial Cir Ste D
Clarksville, TN 37043-4528

Mailing address

1808 Memorial Cir Ste D
Clarksville, TN 37043-4528
Phone (615) 931-1875

Other names 1

  • ComForCare Home Care Clarksville Doing business as

National Provider Directory

National Provider Directory

Locations

1808 Memorial Cir
Ste D
Clarksville, TN 37043
Phone (615) 931-1875

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1659062032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 MEMORIAL CIR STE D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434528",
            "telephone_number": "615-931-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 MEMORIAL CIR STE D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434528",
            "telephone_number": "615-931-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TN HOME HEALTH LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "JODWAY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-568-0778",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForCare Home Care Clarksville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.