Active NPI
Tennessee Home Care
- Respite Care
- Southaven, MS
National Provider Identifier
1790236867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- TENNESSEE HOME CARE
- Practice address
- 4527 Aberton Dr
Southaven, MS 38672-7175 - Phone
- (901) 679-7636
- NPI assigned
- Oct 24, 2016
- Last updated
- Oct 24, 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
- Ms. Chestine Danielle Washington
- Title
- Behavior Therapist
- Phone
- (901) 679-7636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | NU | Primary |
Addresses
Primary practice location
4527 Aberton Dr
Southaven, MS 38672-7175
Mailing address
4527 Aberton Dr
Southaven, MS 38672-7175
Phone (901) 679-7636
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477267200000",
"number": "1790236867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4527 ABERTON DR",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386727175",
"telephone_number": "901-679-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4527 ABERTON DR",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386727175",
"telephone_number": "901-679-7636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENNESSEE HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A",
"authorized_official_last_name": "WASHINGTON",
"authorized_official_first_name": "CHESTINE",
"authorized_official_middle_name": "DANIELLE",
"authorized_official_title_or_position": "BEHAVIOR THERAPIST",
"authorized_official_telephone_number": "901-679-7636",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
- Neperterri Latrice Taylor
- Renee Michele Taylor
- Shemeka Chandrae Taylor, FNP-C
- Anna Teetz, COTA/L
- Regene Jereese Tell Mosely, MD
- Emily Michele Terrell, DPT
- Jaiyanth Thayabaran, M.D.
- The Bridge Youth & Family Counseling Services, Inc
- The Counseling Den Christian Counseling Center (The Counseling Den)
- The Hall Team LLC (SYNERGY HomeCare of DeSoto County)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.