Organization Active NPI

Church Street United Methodist Church

  • Respite Care
  • Knoxville, TN
National Provider Identifier
1932496502
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
47/24147A Issued in TN
Legal business name
CHURCH STREET UNITED METHODIST CHURCH
Doing business as
Kay Senior Care Center
Practice address
900 Henley St
Knoxville, TN 37902-3005
Phone
(865) 521-0293
Fax
(865) 521-0288
NPI assigned
Jul 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Authorized official

Name
Judith Christine Winters, MPH
Title
Director
Phone
(865) 521-0293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 47/24147A TN Primary

Addresses

Primary practice location

900 Henley St
Knoxville, TN 37902-3005

Mailing address

900 Henley St
Knoxville, TN 37902-3005
Phone (865) 521-0293

Other identifiers 1

IdentifierTypeStateIssuer
H445479MedicaidTN

Other names 1

  • Kay Senior Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

900 Henley St
Knoxville, TN 37902
Phone (865) 521-0293

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1932496502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HENLEY ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379023005",
            "telephone_number": "865-521-0293",
            "fax_number": "865-521-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HENLEY ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379023005",
            "telephone_number": "865-521-0293",
            "fax_number": "865-521-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH STREET UNITED METHODIST CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "865-521-0293",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "TN",
            "license": "47/24147A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445479",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kay Senior Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.

Verify at the official NPI Registry.