Organization 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
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Sep 23, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.