Active NPI
Momba Home Care Tennessee, LLC
- In Home Supportive Care Agency
- Nashville, TN
National Provider Identifier
1821922899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MOMBA HOME CARE TENNESSEE, LLC
- Practice address
- 3200 W End Ave Ste 500
Nashville, TN 37203-1322 - Phone
- (615) 864-0684
- NPI assigned
- Jun 12, 2026
- 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
- Elazar Huisman
- Title
- Operations
- Phone
- (404) 418-7484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3200 W End Ave Ste 500
Nashville, TN 37203-1322
Mailing address
400 Perimeter Center Ter NE Ste 300
Atlanta, GA 30346-1201
Phone (615) 864-0684
National Provider Directory
National Provider DirectoryLocations
400 Perimeter Center Ter NE
Ste 300
Atlanta, GA 30346
Phone (800) 553-3495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782777600000",
"number": "1821922899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 PERIMETER CENTER TER NE STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303461201",
"telephone_number": "615-864-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 W END AVE STE 500",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031322",
"telephone_number": "615-864-0684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMBA HOME CARE TENNESSEE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-12",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A",
"authorized_official_last_name": "HUISMAN",
"authorized_official_first_name": "ELAZAR",
"authorized_official_title_or_position": "OPERATIONS",
"authorized_official_telephone_number": "404-418-7484"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.