Southeast Senior Services LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOUTHEAST SENIOR SERVICES LLC.

Practice address

1283 Village Green Dr
Hixson, TN 37343-5731

Phone

(423) 785-7015

NPI assigned

Jun 1, 2020

Organization subpart

No

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

Authorized official

Name

Robin Patrice KilbyNPI 1326662842

Title

Owner/Operator

Phone

(423) 785-7015

Specialties & licenses 2

Addresses

Other names 1

• Southeast Senior Services LLC. Doing business as

Electronic endpoints 1

Practitioners 1

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

• Robin Patrice Kilby

  • Nurse's Aide
  • Chattanooga, TN
  • NPI 1326662842
  NPD Authorized official

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1992329429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 VILLAGE GREEN DR",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435731",
            "telephone_number": "423-785-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 VILLAGE GREEN DR",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435731",
            "telephone_number": "423-785-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST SENIOR SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "KILBY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "423-785-7015"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "direct",
            "affiliation": "N",
            "endpointDescription": "direct",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1283 Village Green Dr",
            "city": "Hixson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373435731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Southeast Senior Services LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southeast Senior Services LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Paul Sodemann, PHYSICAL THERAPIST
• Alexander Decosta Sokohl, MD
• Madeline Somers
• Ellen Pigott Soufleris
• Garrett C Soulen, DDS
• Southeast Vision Rehabilitation, PLLC
• Southeastern Dental Associates of Hixson
• Southeastern Retina Associates, P.C.
• Southern Eyecare Associates Inc
• Lauren Taylor Souza, PA-C, DMS, MSW

• In Home Supportive Care Agency in Hixson, TN
• Providers in Hixson, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.