Organization Active NPI

365 In Home Health Care, LLC

  • In Home Supportive Care Agency
  • Old Hickory, TN
National Provider Identifier
1740738269
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
I000000018965 Issued in TN
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.