GIBSON COUNTY OFFICE ON AGING (NPI# 1770793275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770793275 |
| Entity Type | Organization |
| Organization Name | GIBSON COUNTY OFFICE ON AGING |
| Practice Address |
168 Emain St Bradford TN 38316 |
| Mailing Address |
168 East Main St Po Box 190 Bradford TN 38316 |
| Practice Telephone | 7317422891 |
| Practice Fax Number | 7317423028 |
| Mailing Telephone | 7317422891 |
| Mailing Fax Number | 7317423028 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CLARICE SMITH (DIRECTOR) |
| Authorized Official Telephone | 7317422891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | L4380666259 | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0445047 | 05 |
| Street Address |
168 EMAIN ST |
| City | BRADFORD |
| State | TN |
| Zip Code | 38316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073041 | Courtney White Roberson | Nurse Practitioner | 148 Wildcat Ln, Bradford, TN 38316-7618 | 2020-01-30 |
| 1497052104 | West Tennessee Medical Group, Inc. | Clinic/Center | 163 E Main St, Bradford, TN 38316-8650 | 2011-02-15 |
| 1912931189 | Jackson Madison County General Hospital | Family Medicine | 216 E Main St, Bradford, TN 38316-8651 | 2006-07-11 |
| 1093208126 | Felecia Mann | Speech-Language Pathologist | 106 W Front St, Bradford, TN 38316-8802 | 2018-06-13 |
| 1356781447 | Bradford Special School District | Local Education Agency (LEA) | 106 W Front St, Bradford, TN 38316-8802 | 2013-07-03 |
| 1962672303 | Jodie Elizabeth Scott | Speech-Language Pathologist | 136 Highway 45 S, Bradford, TN 38316-9601 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1962009233 | Lisa Holsinger-taylor | Private Vehicle | 5623 Buckneck Rd, Bradford, OH 45308-9427 | 2020-10-08 |
| 1669092565 | Carla Sofia Vaughan | Social Worker | 234 Ferry Rd, Bradford, MA 01835-8018 | 2020-04-21 |
| 1912531898 | Karen Ann Windle | Nurse Practitioner | 41 Dalton Ave, Bradford, MA 01835-7854 | 2020-02-28 |
| 1376175166 | Kathleen M Croll | Nurse Practitioner | 15 Poor Farm Rd, Bradford, NH 03221-6724 | 2020-02-10 |
| 1508497728 | Little Rivers Health Care, Inc. | Social Worker | 143 Fairground Rd, Bradford, VT 05033-9040 | 2020-01-27 |
| 1528698651 | Cynthia Dolores Mawhinney | In Home Supportive Care | 1278 Main Rd, Bradford, ME 04410-3023 | 2020-01-16 |
| 1962049379 | Jennie Hubbard | Licensed Practical Nurse | 574 N Pleasant St Unit 2, Bradford, VT 05033-8713 | 2019-12-04 |
| 1669017109 | Angela Beth Kiklowicz | Massage Therapist | 3590 W Lake Rd, Bradford, NY 14815-9658 | 2019-11-07 |
| 1124683511 | George Lubowa | Registered Nurse | 206 Boxford Rd, Bradford, MA 01835-8202 | 2019-05-01 |
| Find all providers in BRADFORD | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334910 | Breck Frye | Supports Brokerage | 220 Owenwood Pl, Paris, TN 38242-5159 | 2020-10-23 |
| 1700434990 | Daniel Ooko Aluoch | Supports Brokerage | 109 Camerado Lane, Hendersonville, TN 37075-4085 | 2019-08-30 |
| 1003243932 | Community Healthcare Access Network | Supports Brokerage | 2718 Scovel St, Nashville, TN 37208-2847 | 2013-10-09 |
| 1508291733 | Tommy L Campbell | Supports Brokerage | 109 Holiday Ct Ste D7, Franklin, TN 37067-1311 | 2013-09-06 |
| 1912258914 | Nia Association, Inc. | Supports Brokerage | 375 Dover Rd, Clarksville, TN 37042-4144 | 2012-10-01 |
| 1598086431 | Community Network Services LLC | Supports Brokerage | 1600 Breda Dr, Knoxville, TN 37918-1405 | 2010-06-15 |
| 1285848952 | Complete Caregivers and More | Supports Brokerage | 214 W 5th St Ste B, Columbia, TN 38401-3210 | 2007-05-10 |
| 1255478236 | Community Network Services, Inc. | Supports Brokerage | 316 Nancy Lynn Ln Ste 6, Knoxville, TN 37919-6000 | 2007-01-31 |
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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.