SOUTH CENTRAL HUMAN RESOURCE AGENCY (NPI# 1013562529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013562529 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL HUMAN RESOURCE AGENCY |
| Practice Address |
1437 Winchester Hwy Fayetteville TN 37334-2757 |
| Mailing Address |
Po Box 638 Fayetteville TN 37334-0638 |
| Practice Telephone | 9314337182 |
| Practice Fax Number | 9314380074 |
| Mailing Telephone | 9314337182 |
| Mailing Fax Number | 9314380074 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | PAUL T ROSSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9314337182 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0445781 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTH CENTRAL HUMAN RESOURCE AGENCY, INC. | 1437 Winchester Hwy, Fayetteville, TN 37334-2757 |
| Street Address |
1437 WINCHESTER HWY |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| Find all providers in zip 37334 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181539 | Mary Lou Butler | Homemaker | 1383 Lorelei Dr, Fayetteville, OH 45118-9263 | 2020-10-14 |
| 1194348391 | Deirdre Dannette Womack | Homemaker | 221 Bordeaux Dr, Fayetteville, GA 30214-5301 | 2020-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606031 | Balanced Home Care LLC | Homemaker | 709 Carver Ave, Murfreesboro, TN 37130-0747 | 2020-07-13 |
| 1396378865 | Roshenia Jackson | Homemaker | 2025 George Buchanan Dr, La Vergne, TN 37086-2843 | 2020-02-12 |
| 1194363036 | Debbie E Valadez | Homemaker | 188 County Road 142, Riceville, TN 37370-5526 | 2019-12-10 |
| 1336786086 | Dineka Y Thomas | Homemaker | 707 W Raines Rd, Memphis, TN 38109-4337 | 2019-12-02 |
| 1013558105 | Shelia A Gray | Homemaker | 9609 Grays Lake Cv, Cordova, TN 38018-7770 | 2019-10-01 |
| 1891346581 | Lakreshia Dianne Hawkins | Homemaker | 2414 Durham Ave, Memphis, TN 38127-3643 | 2019-09-24 |
| 1649825290 | Derek A Fitzgerald | Homemaker | 411 Annex Ave Apt B5, Nashville, TN 37209-2731 | 2019-08-09 |
| 1194370189 | Barbara Lynn Davis | Homemaker | 388 Edgewater Ave, Dayton, TN 37321-7233 | 2019-08-06 |
| 1619438983 | Heart To Life Elderlycare Service | Homemaker | 2648 Hibbitts Rd, Nashville, TN 37214-2843 | 2019-03-28 |
| 1619445624 | Rashanae Arnwine | Homemaker | 111 County Road 2520, Athens, TN 37303-6925 | 2018-11-07 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
Please comment or provide details below to improve the information on SOUTH CENTRAL HUMAN RESOURCE AGENCY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.