Organization Active NPI

Home Caregivers Inc.

  • Home Health Agency
  • Cookeville, TN
National Provider Identifier
1932225240
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
L 438 096 3546 Issued in TN
Legal business name
HOME CAREGIVERS INC.
Practice address
118 S Dixie Ave Suite 24
Cookeville, TN 38501-3415
Phone
(931) 528-8585
Fax
(931) 520-8947
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Konstantin A Yepifantsev
Title
Owner
Phone
(931) 528-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X L 438 096 3546 TN Primary

Addresses

Primary practice location

118 S Dixie Ave Suite 24
Cookeville, TN 38501-3415

Mailing address

118 S. Dixie Ave. Suite 24
Cookeville, TN 38501-3415
Phone (931) 528-8585

Other identifiers 1

IdentifierTypeStateIssuer
0445769OtherTNTENNCARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1932225240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S. DIXIE AVE. SUITE 24",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013415",
            "telephone_number": "931-528-8585",
            "fax_number": "931-520-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S DIXIE AVE SUITE 24",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013415",
            "telephone_number": "931-528-8585",
            "fax_number": "931-520-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CAREGIVERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "YEPIFANTSEV",
        "authorized_official_first_name": "KONSTANTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-528-8585"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "L 438 096 3546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE",
            "identifier": "0445769",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.