MAQUIA MASSIRIE HALL-BOOTH LPN NPI 1871050104

NPI Information

NPI: 1871050104
Provider Name: MAQUIA MASSIRIE HALL-BOOTH, LPN
Classification: Respite Care - 385HR2065X
Entity Type: Individual

Specialization: Respite Care, Physical Disabilities, Child

Address:
3129 WESTCHESTER DR
CLARKSVILLE, TN
ZIP 37043
Phone: (708) 359-5472
Get Directions

Maquia Massirie Hall-booth, LPN is a respite care and physical disabilities and child respite care in Clarksville, TN. The provider is a facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. Maquia Massirie Hall-booth, LPN NPI is 1871050104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3129 WESTCHESTER DR
CLARKSVILLE, TN
ZIP 37043-804
Phone: (708) 359-5472

The enumeration date for this NPI number is 2/22/2019 and was last updated on 2/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	0219037	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LPN0000091074	OTHER	TENNESSEE	NURSING LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »