Active NPI
365 In Home Health Care, LLC
- In Home Supportive Care Agency
- Old Hickory, TN
National Provider Identifier
1740738269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- I000000018965
- Legal business name
- 365 IN HOME HEALTH CARE, LLC
- Practice address
- 1633 Aaronwood Dr
Old Hickory, TN 37138-4236 - Phone
- (615) 838-3672
- Fax
- (615) 847-4613
- NPI assigned
- Sep 13, 2016
- Last updated
- Sep 13, 2016
- 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
- Miss Charlotte Y Peacock
- Title
- Director
- Phone
- (615) 838-3672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | I000000018965 | TN | Primary |
Addresses
Primary practice location
1633 Aaronwood Dr
Old Hickory, TN 37138-4236
Mailing address
1633 Aaronwood Dr
Old Hickory, TN 37138-4236
Phone (615) 838-3672
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473724800000",
"number": "1740738269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 AARONWOOD DR",
"city": "OLD HICKORY",
"state": "TN",
"postal_code": "371384236",
"telephone_number": "615-838-3672",
"fax_number": "615-847-4613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 AARONWOOD DR",
"city": "OLD HICKORY",
"state": "TN",
"postal_code": "371384236",
"telephone_number": "615-838-3672",
"fax_number": "615-847-4613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "365 IN HOME HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-13",
"last_updated": "2016-09-13",
"status": "A",
"authorized_official_last_name": "PEACOCK",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-838-3672",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TN",
"license": "I000000018965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Hickory, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.