Hearts of Silver Home Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HEARTS OF SILVER HOME CARE, LLC

Doing business as

The Waterford in Sango

Practice address

300 Sango Dr
Clarksville, TN 37043-6822

Phone

(931) 368-9622

NPI assigned

Jul 6, 2023

Organization subpart

No

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

Authorized official

Name

Stephanie Renee NickellNPI 1306550249

Title

Owner/Administrator

Phone

(931) 220-3116

Specialties & licenses 1

Addresses

Other names 1

• The Waterford in Sango Doing business as

Practitioners 1

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

• Stephanie Renee Nickell

  • Assisted Living Facility
  • Clarksville, TN
  • NPI 1306550249
  NPD Authorized official

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1982382453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SANGO DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436822",
            "telephone_number": "931-368-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SANGO DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436822",
            "telephone_number": "931-368-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS OF SILVER HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "NICKELL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "931-220-3116"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waterford in Sango",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.