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Organization Active NPI

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  • In Home Supportive Care Agency
  • Cordova, TN
National Provider Identifier
1962768044
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SELECT SERVICES
Practice address
1704 Belledeer Dr W
Cordova, TN 38016-0411
Phone
(901) 503-9817
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Mrs. Angelia Skipper
Title
Owner
Phone
(901) 503-9817

Specialties & licenses 1

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

Addresses

Primary practice location

1704 Belledeer Dr W
Cordova, TN 38016-0411

Mailing address

1704 Belledeer Dr W
Cordova, TN 38016-0411
Phone (901) 503-9817

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1962768044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 BELLEDEER DR W",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160411",
            "telephone_number": "901-503-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 BELLEDEER DR W",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160411",
            "telephone_number": "901-503-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "SKIPPER",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-503-9817",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 3, 2012; 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.