Lydia Hodge, CEO/PRESIDENT

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

L000000021903 Issued in TN

Practice address

8245 Cordova Rd Ste 1018245
Cordova, TN 38016-2086

Phone

(190) 138-4139

Fax

(901) 384-1395

NPI assigned

Oct 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Faith Specialized Care Services Inc.

  • In Home Supportive Care Agency
  • Cordova, TN
  • NPI 1619567724

  Day Training, Developmentally Disabled Services

  NPD Authorized official

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1851762819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 CORDOVA RD STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162086",
            "telephone_number": "901-384-1394",
            "fax_number": "901-384-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 CORDOVA RD STE 1018245",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162086",
            "telephone_number": "190-138-4139",
            "fax_number": "901-384-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "LYDIA",
        "name_prefix": "Ms.",
        "credential": "CEO/PRESIDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "L000000012725",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000013596",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000021903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G0092",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalynn Ann Hightower, CFY-SLP
• Emily J Hill
• Alexandria Hines
• Briana Hinson
• Tireka Vonsha Hobson, OT
• Chem Hodges
• Mark Stephen Hoffman, PHARMD
• Charles Hogan, D.C.
• Jeannine Elizabeth Hogg, MD
• Sydney Paige Holder, RBT

• In Home Supportive Care Agency in Cordova, TN
• Providers in Cordova, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.