Organization Active NPI

Shelbyville Bedford County Senior Citizens Center

  • Non-emergency Medical Transport (VAN)
  • Shelbyville, TN
National Provider Identifier
1730225541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
T000161MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.