CROCKETT COUNTY OFFICE ON AGING, INC. (NPI# 1285842609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285842609 |
| Entity Type | Organization |
| Organization Name | CROCKETT COUNTY OFFICE ON AGING, INC. |
| Practice Address |
739 S Bells St Alamo TN 38001-2120 |
| Practice Telephone | 7316962050 |
| Practice Fax Number | 7316964637 |
| Mailing Telephone | 7316962050 |
| Mailing Fax Number | 7316964637 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DOROTHY LUCILLE LEGGETT (DIRECTOR) |
| Authorized Official Telephone | 7316962050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| X | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| X | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| X | 385H00000X | Respite Care | H445043 | TN | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | H445043 | 05 |
| Street Address |
739 S BELLS ST |
| City | ALAMO |
| State | TN |
| Zip Code | 38001-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649637281 | Megan Chapman | Nurse Practitioner | 18 N Cavalier Dr., Alamo, TN 38001 | 2016-01-27 |
| 1295906378 | Lori Faye Laman | Nurse Practitioner | 58 S. Bells St., Alamo, TN 38001 | 2008-03-17 |
| 1124234380 | Firstcare Medical Center, PC | Internal Medicine | 281-4 Climer Loop Road, Alamo, TN 38001 | 2007-05-15 |
| 1134264450 | State of Tennessee | Public Health or Welfare | 209 N Bells Street, Alamo, TN 38001 | 2007-02-21 |
| 1629154661 | Melvin Roy York | Pharmacist | 8 N. Cavalier Drive, Alamo, TN 38001 | 2006-10-31 |
| 1902819501 | Karen B Webb | Nurse Practitioner | 58 S. Bells St, Alamo, TN 38001 | 2006-08-14 |
| 1659384253 | Raymond Wayne Rhear | Family Medicine | 59 S. Bells St, Alamo, TN 38001 | 2006-08-14 |
| 1548569700 | Kristin Lea Byrd | Nurse Practitioner | 58 S. Bells St, Alamo, TN 38001 | 2011-03-26 |
| 1104839703 | Crockett Medical Clinic Inc | Family Medicine | 58 S. Bells St, Alamo, TN 38001 | 2006-08-14 |
| 1497807119 | Crockett County Nursing Home, Inc. | Skilled Nursing Facility | 580 West Main Street, Alamo, TN 38001-0367 | 2007-01-16 |
| Find all providers in zip 38001 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.