Active NPI
Special Needs Home Health Care LLC
- Home Health Agency
- Clarksville, TN
National Provider Identifier
1982857322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 15878
- Legal business name
- SPECIAL NEEDS HOME HEALTH CARE LLC
- Practice address
- 1860 Wilma Rudolph Blvd # 103B
Clarksville, TN 37040-6750 - Phone
- (931) 920-8425
- Fax
- (931) 378-7016
- NPI assigned
- Oct 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Leangel Simmons
- Title
- Ceo/Manager
- Phone
- (931) 920-8425
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 15878 | TN | Primary |
Addresses
Primary practice location
1860 Wilma Rudolph Blvd # 103B
Clarksville, TN 37040-6750
Mailing address
1860 Wilma Rudolph Blvd # 103B
Clarksville, TN 37040-6750
Phone (931) 920-8425
National Provider Directory
National Provider DirectoryLocations
1860 Wilma Rudolph Blvd
#103B
Clarksville, TN 37040
Phone (931) 920-8425
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Clarksville, TN
- NPI 1760867543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635292800000",
"number": "1982857322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 WILMA RUDOLPH BLVD # 103B",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370406750",
"telephone_number": "931-920-8425",
"fax_number": "931-378-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 WILMA RUDOLPH BLVD # 103B",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370406750",
"telephone_number": "931-920-8425",
"fax_number": "931-378-7016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIAL NEEDS HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-29",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "LEANGEL",
"authorized_official_title_or_position": "CEO/MANAGER",
"authorized_official_telephone_number": "931-920-8425"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TN",
"license": "15878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.