Med Arc Home, LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

MED ARC HOME, LLC

Practice address

2888 Lera Jones Dr
Antioch, TN 37013-1317

Phone

(615) 712-9626

NPI assigned

Mar 7, 2013

Last updated

Apr 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris Simmons, COTA/L

Title

Agent

Phone

(615) 712-9626

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Dale Simmons, COTA/L

  • Occupational Therapy Assistant
  • Antioch, TN
  • NPI 1073854675
  NPD (past)

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1922349430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 LERA JONES DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131317",
            "telephone_number": "615-712-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 LERA JONES DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131317",
            "telephone_number": "615-712-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED ARC HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "615-712-9626",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany McDonald, CCC-SLP
• Daniel J McHugh, MD
• Angela R McKnight, FNP
• Macy Ray McLain
• James P McNally, PHARM. D.
• Medicine in Motion of Middle Tennessee
• Audra L. Meeks, ANP
• Vivian Mekhaeil
• Nebyou F Mekuria
• Mercy Medtrans

• Home Modifications Contractor in Antioch, TN
• Providers in Antioch, TN by specialty
• Home Modifications Contractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.