Active NPI
Staffco of Southwest TN, LLC. Dba at Home Healthcare of Southwest TN
- In Home Supportive Care Agency
- Jackson, TN
National Provider Identifier
1871801910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- STAFFCO OF SOUTHWEST TN, LLC. DBA AT HOME HEALTHCARE OF SOUTHWEST TN
- Practice address
- 199 Carriage House Dr
Jackson, TN 38305-3983 - Phone
- (731) 410-8727
- NPI assigned
- Sep 23, 2010
- 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
- Joe Browder
- Title
- Director
- Phone
- (901) 605-4657
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
199 Carriage House Dr
Jackson, TN 38305-3983
Mailing address
PO Box 34249
Bartlett, TN 38184-0249
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285200000000",
"number": "1871801910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34249",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381840249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 CARRIAGE HOUSE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053983",
"telephone_number": "731-410-8727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAFFCO OF SOUTHWEST TN, LLC. DBA AT HOME HEALTHCARE OF SOUTHWEST TN",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-23",
"last_updated": "2010-09-23",
"status": "A",
"authorized_official_last_name": "BROWDER",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "901-605-4657"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"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 Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.