Active NPI
Northcrest Medical Center
Doing business as NorthCrest Hospice
- Community Based Hospice Care Agency
- Springfield, TN
National Provider Identifier
1699850180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 0000000521
- Legal business name
- NORTHCREST MEDICAL CENTER
- Doing business as
- NorthCrest Hospice
- Practice address
- 101E Mooreland Drive
Springfield, TN 37172-3974 - Phone
- (615) 384-9425
- Fax
- (615) 384-9468
- NPI assigned
- Oct 25, 2006
- Organization subpart
- Yes
- Parent organization
- NORTHCREST MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Raynes
- Title
- Ceo President
- Phone
- (615) 384-1501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 0000000521 | TN | Primary |
Addresses
Primary practice location
101E Mooreland Drive
Springfield, TN 37172-3974
Mailing address
101E Mooreland Drive
Springfield, TN 37172-3974
Phone (615) 384-9425
Other names 1
- NorthCrest Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Part of
- Northcrest
Locations
101 Mooreland Dr
Springfield, TN 37172
Phone (615) 384-0687
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Apr 15, 2019 | Change of Ownership | Aveanna Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Aveanna Hospice
- Community Based Hospice Care Agency
- Springfield, TN
- NPI 1609439991
Sold to, 2019-04-15
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202256000000",
"number": "1699850180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101E MOORELAND DRIVE",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371723974",
"telephone_number": "615-384-9425",
"fax_number": "615-384-9468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101E MOORELAND DRIVE",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371723974",
"telephone_number": "615-384-9425",
"fax_number": "615-384-9468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHCREST MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTHCREST MEDICAL CENTER",
"enumeration_date": "2006-10-25",
"last_updated": "2008-02-06",
"status": "A",
"authorized_official_last_name": "RAYNES",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CEO PRESIDENT",
"authorized_official_telephone_number": "615-384-1501"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "TN",
"license": "0000000521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NorthCrest Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Springfield, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.