Active NPI
Leann Care LLC
- Assisted Living Facility (Mental Illness)
- Jackson, TN
National Provider Identifier
1821337866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- License
- 3104A0625X
- Legal business name
- LEANN CARE LLC
- Practice address
- 33 Rawlig Wood Cove Ave
Jackson, TN 38305 - Phone
- (731) 506-9222
- Fax
- (731) 506-3580
- NPI assigned
- Feb 12, 2013
- Last updated
- Feb 12, 2013
- 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. Angela Lynniase McGoughy
- Title
- Manager
- Phone
- (731) 506-9222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | 3104A0625X | TN | Primary |
Addresses
Primary practice location
33 Rawlig Wood Cove Ave
Jackson, TN 38305
Mailing address
33 Rawlingwood CV
Jackson, TN 38305-8580
Phone (731) 506-9222
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360627200000",
"number": "1821337866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 RAWLINGWOOD CV",
"city": "JACKSON",
"state": "TN",
"postal_code": "383058580",
"telephone_number": "731-506-9222",
"fax_number": "731-506-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 RAWLIG WOOD COVE AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "38305",
"telephone_number": "731-506-9222",
"fax_number": "731-506-3580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEANN CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-12",
"last_updated": "2013-02-12",
"status": "A",
"authorized_official_last_name": "MCGOUGHY",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "LYNNIASE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "731-506-9222",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "TN",
"license": "3104A0625X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.