Organization Active NPI

Tennessee Home Care

  • Respite Care
  • Southaven, MS
National Provider Identifier
1790236867
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.