Organization Active NPI

Dignity Home Care

  • In Home Supportive Care Agency
  • Martin, TN
National Provider Identifier
1700337573
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
I000000019013 Issued in TN
Legal business name
DIGNITY HOME CARE
Practice address
113 Kenny Rd
Martin, TN 38237-5650
Phone
(731) 587-3797
Fax
(731) 587-3798
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Brenda Tolliver ScottNPI 1679024434
Title
Owner
Phone
(731) 332-0781

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X I000000019013 TN Primary

Addresses

Primary practice location

113 Kenny Rd
Martin, TN 38237-5650

Mailing address

113 Kenny Rd
Martin, TN 38237-5650
Phone (731) 587-3797

Other identifiers 1

IdentifierTypeStateIssuer
Q024081MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1700337573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 KENNY RD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382375650",
            "telephone_number": "731-587-3797",
            "fax_number": "731-587-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 KENNY RD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382375650",
            "telephone_number": "731-587-3797",
            "fax_number": "731-587-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "TOLLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-332-0781"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "I000000019013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q024081",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.