Home Sweet Homecare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1000000015160 Issued in TN

Legal business name

HOME SWEET HOMECARE

Practice address

200 Poplar Ave
Ste 102
Memphis, TN 38103-1959

Phone

(901) 356-1195

Fax

(901) 575-3328

NPI assigned

May 13, 2015

Last updated

May 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kobra JeffriesNPI 1376920009

Title

Owner

Phone

(901) 356-1195

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kobra Jeffries

  • In Home Supportive Care Agency
  • Memphis, TN
  • NPI 1376920009
  NPD (past) Authorized official

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1659759496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 CAMPTOWN LN",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541241",
            "telephone_number": "901-356-1195",
            "fax_number": "901-575-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 POPLAR AVE",
            "address_2": "STE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381031959",
            "telephone_number": "901-356-1195",
            "fax_number": "901-575-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SWEET HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "KOBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-356-1195"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "1000000015160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.