Still Waters Home Health Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

STILL WATERS HOME HEALTH AGENCY LLC

Practice address

856 Willow Tree Cir
Cordova, TN 38018-6376

Phone

(901) 493-9476

Fax

(901) 794-7877

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lenora R Herring

Title

Owner

Phone

(901) 493-9476

Specialties & licenses 1

Addresses

Other names 1

• Lenora R. Herring Former legal business name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Athometherapy Solutions, PLLC

  • Home Health Agency
  • Cordova, TN
  • NPI 1740617901

  Sold to, 2016-01-04

  CMS change of ownership

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1851323562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 WILLOW TREE CIR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186376",
            "telephone_number": "901-493-9476",
            "fax_number": "901-794-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 WILLOW TREE CIR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186376",
            "telephone_number": "901-493-9476",
            "fax_number": "901-794-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "LENORA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-493-9476",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenora R. Herring",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bobby Jean Stewart, MSN, FNP-BC
• Jason Casey Stewart, FNP
• Joshua Demarco Stewart
• Kristin Kathleen Stewart, APRN, PMHNP-BC
• Stewarts Essential Transportation
• Gary Nicholas Stillwell, DDS
• Wendy Bounds Stinson, PHD, RD
• William David Stinson, M.D.
• Stokes Surgery Group, PC
• Myron Cornel Stokes, M.D.

• Home Health Agency in Cordova, TN
• Providers in Cordova, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.