Tennessee Community Services Agency

LBN: Tennessee Community Services Agency
Tennessee Community Services Agency is an health care organization with primary practice located at 6 Stonebridge Blvd Ste G, Jackson TN 38305-2166. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Tennessee Community Services Agency can be contacted via phone (731) 984-9030, or through Mcwherter, Thomas D via phone (731) 884-2630.

Contact Information

Primary practice address
6 Stonebridge Blvd Ste G Jackson TN 38305-2166
Phone: (731) 984-9030
Fax: (731) 664-4623
Website:
Map and Directions
Authorized official contact:
Name: Mcwherter, Thomas D
Phone: (731) 884-2630

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 10000000004532 Tennessee

Profile Details

NPI number 1124356258
LBN Legal business name Tennessee Community Services Agency
DBA Doing business as
Authorized official Mcwherter, Thomas D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2009
Last updated Dec 1st, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124356258 NPPES
Tennessee MEDICAID H445-085

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