Rena Payne

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

L000000035705 Issued in TN

Practice address

25 Max Lane Dr Ste 3
Jackson, TN 38305-2835

Phone

(731) 694-8058

NPI assigned

Jul 5, 2024

Last updated

Jul 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advance Choice Home Care Incorporation LLC

  • In Home Supportive Care Agency
  • Jackson, TN
  • NPI 1639044902
  NPD Authorized official

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1881430106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAX LANE DR STE 3",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052835",
            "telephone_number": "731-694-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAX LANE DR STE 3",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052835",
            "telephone_number": "731-694-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "RENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "TN",
            "license": "L000000035705",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TN",
            "license": "L000000035705",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "TN",
            "license": "L000000035705",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "TN",
            "license": "L000000035705",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000035705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene McDonald Patton, D.PH.
• Payne Chiropractic PLLC
• Franklin Vaughn Payne, D.C.
• James A Payne, MD
• Michael Ray Payne, M.S. CCC-SLP
• David A Pearce, MD
• Pamela Pearce, MS, NCC, LPC MHSP
• Brian Keith Pearson, D.D.S.
• Michael Brent Pearson, D.C.
• Nancy B Pechacek, FNP

• In Home Supportive Care Agency in Jackson, TN
• Providers in Jackson, 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 Jul 5, 2024; 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.