Baptist Memorial Hospital-Huntingdon

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0000000019 Issued in TN

Legal business name

BAPTIST MEMORIAL HOSPITAL-HUNTINGDON

Doing business as

Baptist Memorial Home Care

Practice address

631 RB Wilson Dr
Huntingdon, TN 38344-1727

Phone

(731) 986-3220

NPI assigned

Jan 22, 2007

Last updated

Oct 1, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BAPTIST MEMORIAL HEALTH CARE CORP.As reported in NPPES

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

Authorized official

Name

Gregory M Duckett

Title

Sr VP/ Corp Sec

Phone

(901) 227-5233

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BAPTIST MEMORIAL HOME CARE Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Baptist Memorial Health Care Corp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Baptist Memorial Hospital-Huntingdon

  dba Baptist Memorial Hospital - Carroll County

  • General Acute Care Hospital
  • Huntingdon, TN
  • NPI 1710941356

  Member Of

  NPD member

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• LHCG Xciv, LLC

  dba Baptist Memorial Home Care & Hospice

  • Home Health Agency
  • Huntingdon, TN
  • NPI 1568997252

  Sold to, 2017-06-01

  CMS change of ownership

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1780738468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "731-986-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 RB WILSON DR",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383441727",
            "telephone_number": "731-986-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST MEMORIAL HOSPITAL-HUNTINGDON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VP/ CORP SEC",
        "authorized_official_telephone_number": "901-227-5233"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "0041134",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13612",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAPTIST MEMORIAL HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BAPTIST MEMORIAL HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baptist Memorial Hospital-Huntingdon (Baptist Carroll County Family Health Care)
• Baptist Memorial Hospital-Huntingdon (Baptist Memorial Hospital Carroll County Pharmacy)
• Baptist Memorial Hospital-Huntingdon
• Baptist Memorial Hospital-Huntingdon (Baptist Memorial Hospital - Carroll County)
• Baptist Memorial Hospital-Huntingdon
• Kelli Brandon Beal, PTA
• Jill A. Bennett, APRN
• Caitlin Black, MD
• Clinton Jed Blaine, P.A.
• Bloom Psychiatric Care, LLC

• Home Health Agency in Huntingdon, TN
• Providers in Huntingdon, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.