Active NPI
Tennessee Personal Assistance, Inc
- In Home Supportive Care Agency
- Jackson, TN
National Provider Identifier
1891064002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- L000000009118
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E02 | Medicaid | TN |
National Provider Directory
National Provider Directory- Tax ID family
- Tennessee Personal Assistance Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Nashville, TN
- NPI 1053680264
-
- In Home Supportive Care Agency
- Nashville, TN
- NPI 1487922555
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.