Organization Active NPI

Private Duty Home Services LLC

  • In Home Supportive Care Agency
  • Bristol, TN
National Provider Identifier
1659166643
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRIVATE DUTY HOME SERVICES LLC
Practice address
1615 Bluff City Hwy Ste 102
Bristol, TN 37620-6055
Phone
(423) 900-7858
NPI assigned
Apr 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Donna Butts, RNNPI 1386439370
Title
Owner
Phone
(256) 443-0738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

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

Addresses

Primary practice location

1615 Bluff City Hwy Ste 102
Bristol, TN 37620-6055

Mailing address

1615 Bluff City Hwy Ste 102
Bristol, TN 37620-6055
Phone (423) 900-7858

National Provider Directory

National Provider Directory

Locations

1615 Bluff City Hwy
Ste 102
Bristol, TN 37620
Phone (423) 900-7858

415 E Sullivan St
Kingsport, TN 37660
Phone (423) 900-7858

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1659166643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 BLUFF CITY HWY STE 102",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376206055",
            "telephone_number": "423-900-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 BLUFF CITY HWY STE 102",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376206055",
            "telephone_number": "423-900-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DUTY HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-443-0738",
        "authorized_official_credential": "RN"
    },
    "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": []
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.