AT YOUR RESIDENCE HEALTH CARE SERVICES (NPI# 1114302312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114302312 |
| Entity Type | Organization |
| Organization Name | AT YOUR RESIDENCE HEALTH CARE SERVICES |
| Practice Address |
1665 Bonnie Ln 106 Cordova TN 38016-0548 |
| Practice Telephone | 9018002770 |
| Practice Fax Number | 9018002771 |
| Mailing Telephone | 9018002770 |
| Mailing Fax Number | 9018002771 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | RAVEN MARSHALL (OWNER) |
| Authorized Official Telephone | 9018002770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 16331 | TN | Agencies |
| Street Address |
1665 BONNIE LN 106 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38016-0548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365429 | Erica Patrese Odum | Pediatrics | 1665 Bonnie Ln, Suite 101, Cordova, TN 38016-0548 | 2005-06-09 |
| 1962495655 | Jeannine Elizabeth Hogg | Pediatrics | 1665 Bonnie Ln, 101, Cordova, TN 38016-0548 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886872 | Megan Scott Bolton | Physical Therapist | 8110 Cordova Road Suite 107, Cordova, TN 38016 | 2020-06-23 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1376195842 | Robert Cody Heismann | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016 | 2019-07-15 |
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1255776886 | Suzanne Elaine Baker | Family Medicine | 2257 North Germantown Parkway, Memphis, TN 38016 | 2013-05-09 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1114186624 | Rebecca L Bills | Optometrist | 1795 N Germantown Pkwy, Cordova, TN 38016 | 2008-06-09 |
| 1679784128 | Linda Kay Yates | Emergency Medicine | 1401 Dexter Lane, Cordova, TN 38016 | 2007-05-25 |
| 1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
| 1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
| Find all providers in zip 38016 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316555774 | New Living Home Health Care Agency Inc. | In Home Supportive Care | 2851 Morning Trace Dr, Cordova, TN 38016-2469 | 2020-07-21 |
| 1922641901 | Heart 2 Heart Elderly Care | In Home Supportive Care | 314 Bendigo Dr, Cordova, TN 38018-7228 | 2019-10-23 |
| 1598297467 | Latosha S Faulkner | In Home Supportive Care | 8151 Walnut Grove Rd Ste 2, Cordova, TN 38018-4286 | 2017-03-30 |
| 1528429925 | Linda Brooks | In Home Supportive Care | 1327 Chatman Cv, Suite 100, Cordova, TN 38018-5699 | 2016-03-11 |
| 1962768044 | Select Services | In Home Supportive Care | 1704 Belledeer Dr W, Cordova, TN 38016-0411 | 2012-04-03 |
| 1376817478 | Tristate Pulmonary Services | In Home Supportive Care | 836 Tropicana Dr E, Cordova, TN 38018-3571 | 2012-03-07 |
| 1831489202 | Resources for Human Development, Inc | In Home Supportive Care | 1600 Bonnie Ln, Suite #101, Cordova, TN 38016-0509 | 2011-04-19 |
| 1588973671 | Katie's Compassion Ministries, LLC | In Home Supportive Care | 830 Willow Tree Cir, Cordova, TN 38018-6330 | 2010-10-06 |
| 1265765945 | Exceptional Development Family Treatment Center, LLC | In Home Supportive Care | 10422 Redmond Dr, Cordova, TN 38016-5437 | 2009-09-11 |
| 1720510605 | Sent From Above, Home Healthcare | In Home Supportive Care | 8151 Walnut Grove Rd Ste 2, Cordova, TN 38018-4286 | 2017-03-30 |
| Find all providers in CORDOVA | ||||
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| 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.