Proctor Logic Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

695393 Issued in TN

Legal business name

PROCTOR LOGIC INC

Practice address

3000 Midwood St Apt 3106
Franklin, TN 37067-6626

Phone

(901) 482-6033

NPI assigned

Feb 4, 2014

Last updated

Jan 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jabbar Lumumba Smith

Title

Operations Manager

Phone

(901) 482-6033

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1821412362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MIDWOOD ST 3106",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "901-482-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MIDWOOD ST APT 3106",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676626",
            "telephone_number": "901-482-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCTOR LOGIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JABBAR",
        "authorized_official_middle_name": "LUMUMBA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "901-482-6033"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "TN",
            "license": "695393",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "069639461",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "695393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPN INSURANCE PRODUCER NUMBER",
            "identifier": "1484134",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Franklin, TN
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• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.