STILL WATERS HOME HEALTH AGENCY LLC (NPI# 1851323562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851323562 |
| Entity Type | Organization |
| Organization Name | STILL WATERS HOME HEALTH AGENCY LLC |
| Other Organization Name | LENORA R. HERRING |
| Practice Address |
856 Willow Tree Cir Cordova TN 38018-6376 |
| Practice Telephone | 9014939476 |
| Practice Fax Number | 9017947877 |
| Mailing Telephone | 9014939476 |
| Mailing Fax Number | 9017947877 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-03-11 |
| Authorized Official Name | MRS. LENORA R HERRING (OWNER) |
| Authorized Official Telephone | 9014939476 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | TN | Agencies |
| Other Name | Type Code |
|---|---|
| Lenora R. Herring | Former Legal Business Name - Organization |
| Street Address |
856 WILLOW TREE CIR |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-6376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954881 | Joseph Ardiel Dayao Lubrico | Physical Therapist | 856 Willow Tree Cir, Cordova, TN 38018-6376 | 2020-02-21 |
| 1346873981 | Francisco D Nayan Jr. | Physical Therapist | 856 Willow Tree Cir, Cordova, TN 38018-6376 | 2020-02-21 |
| 1104337062 | Demetras Chunta' Middleton | Physical Therapy Assistant | 856 Willow Tree Cir, Cordova, TN 38018-6376 | 2017-10-18 |
| 1740617901 | Athometherapy Solutions, Pllc | Physical Therapist | 856 Willow Tree Cir, Cordova, TN 38018-6376 | 2013-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043779010 | Donchita V Stennis | Home Health | 10131 Cameron Ridge Trl, Cordova, TN 38016-7184 | 2019-03-18 |
| 1609347137 | Willie D Richardson Sr. | Home Health | 8316 Macon Ter Ste 102, Cordova, TN 38018-8505 | 2018-12-10 |
| 1619463197 | Roman Williams | Home Health | 8765 Gum Tree Cv, Cordova, TN 38018-7659 | 2018-07-08 |
| 1720502479 | Sc Home Health Care | Home Health | 2149 Purple Leaf Ln, Cordova, TN 38016-5365 | 2017-08-02 |
| 1235664921 | Lhcg Xciii, LLC | Home Health | 8000 Centerview Pkwy Ste 403, Cordova, TN 38018-4227 | 2017-05-01 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1891245890 | Extended Quality of Life, LLC | Home Health | 2677 Wigan Cv, Cordova, TN 38016-0115 | 2016-10-13 |
| 1023477171 | Quality Health | Home Health | 2860 Morning Lake Dr Apt 201, Cordova, TN 38016-2408 | 2016-02-17 |
| 1407214778 | Tanya Ragland | Home Health | 8950 Gateshead Ln, Cordova, TN 38018-4871 | 2016-02-02 |
| 1700241767 | We Care Home Health Care of Tennessee Inc | Home Health | 1904 Talisker Dr, Cordova, TN 38016-0155 | 2015-12-17 |
| Find all providers in CORDOVA | ||||
Please comment or provide details below to improve the information on STILL WATERS HOME HEALTH AGENCY LLC.
| 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.