Active NPI
Shelbyville Bedford County Senior Citizens Center
- Non-emergency Medical Transport (VAN)
- Shelbyville, TN
National Provider Identifier
1730225541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- SHELBYVILLE BEDFORD COUNTY SENIOR CITIZENS CENTER
- Practice address
- 111 JG Helton Dr
Shelbyville, TN 37160-7422 - Phone
- (931) 684-0019
- Fax
- (931) 684-0086
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sonia Ann Miller
- Title
- Director
- Phone
- (931) 684-0019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
111 JG Helton Dr
Shelbyville, TN 37160-7422
Mailing address
111 JG Helton Dr
Shelbyville, TN 37160-7422
Phone (931) 684-0019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T000161 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
111 Jg Helton Dr
Shelbyville, TN 37160
Phone (931) 684-0019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730225541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 JG HELTON DR",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371607422",
"telephone_number": "931-684-0019",
"fax_number": "931-684-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 JG HELTON DR",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371607422",
"telephone_number": "931-684-0019",
"fax_number": "931-684-0086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELBYVILLE BEDFORD COUNTY SENIOR CITIZENS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "SONIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "931-684-0019",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T000161",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.