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TENNESSEE PERSONAL ASSISTANCE INC NPI 1891064002


NPI Information

NPI: 1891064002
Provider Name: TENNESSEE PERSONAL ASSISTANCE, INC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 44D0882938

Address:
31B BOWLING DR
JACKSON, TN
ZIP 38305
Phone: (731) 660-6493
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TENNESSEE PERSONAL ASSISTANCE, INC is an in home supportive care in Jackson, TN. The provider is 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. TENNESSEE PERSONAL ASSISTANCE, INC NPI is 1891064002. The provider is registered as an organization entity type.

The provider's business location address is:

31B BOWLING DR
JACKSON, TN
ZIP 38305-100
Phone: (731) 660-6493

The provider's authorized official is Sweden Kwenda .
The authorized official title is Cfo and has the following contact phone number (615) 331-6200.

The CLIA number assigned to this NPI record is 44D0882938 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/16/2011 and was last updated on 12/16/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesL000000009118TENNESSEENo
2251J00000XNursing CarePSS0000000278TENNESSEENo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesL000000009118TENNESSEENo
4253Z00000XIn Home Supportive CareL000000009118TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E02MEDICAIDTENNESSEE

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

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