Collier Shot Corp

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COLLIER SHOT CORP

Practice address

177 E Main St Ste 6
Hendersonville, TN 37075-3885

Phone

(615) 622-9362

NPI assigned

Jun 11, 2020

Organization subpart

No

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

Authorized official

Name

John Collier

Title

Ceo

Phone

(615) 622-9360

Specialties & licenses 1

Addresses

Other names 1

• HomeWell Care Services of East Nashville Doing business as

Locations

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1669097028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 E MAIN ST STE 6",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753885",
            "telephone_number": "615-622-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 E MAIN ST STE 6",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753885",
            "telephone_number": "615-622-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER SHOT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-622-9360"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeWell Care Services of East Nashville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie B Cogdell
• Ethan Coghill, DC
• Kyle B Coghlan
• Ashlynn Danielle Cole
• Deidra Renee Cole
• Elena Collier, OD
• Sandra Jean Collier, LPN
• Lilian Colossa
• Lauren Suzanne Combs
• Community Transit LLC

• In Home Supportive Care Agency in Hendersonville, TN
• Providers in Hendersonville, 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 Jun 11, 2020; 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.