Organization Active NPI

Special Needs Home Health Care LLC

  • Home Health Agency
  • Clarksville, TN
National Provider Identifier
1982857322
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
15878 Issued in TN
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

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Elizabeth Leangel SimmonsNPI 1760867543
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.