Organization Active NPI

Tennessee Personal Assistance, Inc

  • In Home Supportive Care Agency
  • Jackson, TN
National Provider Identifier
1891064002
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
L000000009118 Issued in TN
Legal business name
TENNESSEE PERSONAL ASSISTANCE, INC
Practice address
31B Bowling Dr
Jackson, TN 38305-6100
Phone
(731) 660-6493
NPI assigned
Dec 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Mr. Sweden Kwenda
Title
Cfo
Phone
(615) 331-6200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X L000000009118 TN
Nursing Care Agency 251J00000X PSS0000000278 TN
In Home Supportive Care Agency 253Z00000X L000000009118 TN Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X L000000009118 TN

Addresses

Primary practice location

31B Bowling Dr
Jackson, TN 38305-6100

Mailing address

475 Metroplex Dr
Suite 106
Nashville, TN 37211-3153
Phone (615) 331-6200

Other identifiers 1

IdentifierTypeStateIssuer
E02MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Tennessee Personal Assistance Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

31B Bowling Dr
Jackson, TN 38305
Phone (731) 660-6493

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1891064002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 METROPLEX DR",
            "address_2": "SUITE 106",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113153",
            "telephone_number": "615-331-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31B BOWLING DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056100",
            "telephone_number": "731-660-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE PERSONAL ASSISTANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "KWENDA",
        "authorized_official_first_name": "SWEDEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-331-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "L000000009118",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TN",
            "license": "PSS0000000278",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000009118",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": "L000000009118",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E02",
            "state": "TN"
        }
    ],
    "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 Dec 16, 2011; 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.