Active NPI
New Vision Support Service Agency
- Home Health Agency
- Memphis, TN
National Provider Identifier
1891147476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- NEW VISION SUPPORT SERVICE AGENCY
- Practice address
- 1331 Union Ave
Suite 932
Memphis, TN 38104-3513 - Phone
- (901) 319-5983
- NPI assigned
- Jul 7, 2016
- 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
- Ms. Waketa Yvette Crapenter
- Title
- Owner
- Phone
- (901) 319-5983
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Preferred Provider Organization | 305R00000X | |||
| Point of Service | 305S00000X |
Addresses
Primary practice location
1331 Union Ave
Suite 932
Memphis, TN 38104-3513
Mailing address
1331 Union Ave
Suite 932
Memphis, TN 38104-3513
Phone (901) 319-5983
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467849600000",
"number": "1891147476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 UNION AVE",
"address_2": "SUITE 932",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043513",
"telephone_number": "901-319-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 UNION AVE",
"address_2": "SUITE 932",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043513",
"telephone_number": "901-319-5983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW VISION SUPPORT SERVICE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-07",
"last_updated": "2016-07-07",
"status": "A",
"authorized_official_last_name": "CRAPENTER",
"authorized_official_first_name": "WAKETA",
"authorized_official_middle_name": "YVETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-319-5983",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.