NPIMap

Organization Active NPI

Rejuvenescense

  • In Home Supportive Care Agency
  • Cordova, TN
National Provider Identifier
1891435293
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
REJUVENESCENSE
Practice address
10357 Ivy Laurel CV
Cordova, TN 38018-6685
Phone
(901) 930-6966
NPI assigned
Apr 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Lanora OwensNPI 1912647520
Title
Director
Phone
(901) 930-6966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

10357 Ivy Laurel CV
Cordova, TN 38018-6685

Mailing address

10357 Ivy Laurel CV
Cordova, TN 38018-6685

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1891435293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10357 IVY LAUREL CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10357 IVY LAUREL CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186685",
            "telephone_number": "901-930-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENESCENSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "LANORA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "901-930-6966"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.