MS. LYDIA HODGE (NPI# 1851762819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851762819 |
| Entity Type | Individual |
| Full Name | MS. LYDIA HODGE |
| Credential | CEO/PRESIDENT |
| Practice Address |
5705 Stage Rd Ste 200 Bartlett TN 38134-4511 |
| Practice Telephone | 9013841394 |
| Mailing Telephone | 9013841394 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | L000000012725 | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | G0092 | 05 |
| Street Address |
5705 STAGE RD STE 200 |
| City | BARTLETT |
| State | TN |
| Zip Code | 38134-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588282628 | Emma Wedley | Day Training, Developmentally Disabled Services | 2855 Stage Village Cv Ste 8, Bartlett, TN 38134-4616 | 2020-07-06 |
| 1376008011 | Excel Centers of America, LLC | Day Training, Developmentally Disabled Services | 2855 Stage Village Cv Ste 7, Bartlett, TN 38134-4616 | 2019-02-06 |
| 1841629029 | Affordable Financial Services | Day Training, Developmentally Disabled Services | 2851 Stage Village Cv, Bartlett, TN 38134-4683 | 2013-11-07 |
| 1376758540 | Bios of Tennessee, LLC | Day Training, Developmentally Disabled Services | 2855 Stage Village Cv, Bartlett, TN 38134-4616 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593082 | Simplylove Care Inc | Day Training, Developmentally Disabled Services | 8920 Macauley Ln, Nolensville, TN 37135-4013 | 2020-09-21 |
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1134617350 | Golden Moments Home Care, LLC | Day Training, Developmentally Disabled Services | 201 Airways Blvd, Jackson, TN 38301-5800 | 2018-04-24 |
| 1316449366 | Don A Hunt-ford Jr. | Day Training, Developmentally Disabled Services | 2016 Angel Way, Forney, TN 75126 | 2018-03-06 |
| 1013462050 | C.s. Patterson Training & Habilitation Center, Inc. | Day Training, Developmentally Disabled Services | 1284 Us Highway 45 Byp N, Trenton, TN 38382-4005 | 2016-08-19 |
| 1104287861 | Adult Community Training Inc. | Day Training, Developmentally Disabled Services | 5410 Highway 321 N, Lenoir City, TN 37771-7540 | 2016-03-09 |
| 1154714335 | Triumph Care, LLC | Day Training, Developmentally Disabled Services | 1161 Murfreesboro Pike Ste 132, Nashville, TN 37217-2225 | 2015-03-11 |
| 1760870463 | Jeffrey Mckee | Day Training, Developmentally Disabled Services | 305 Spearhead Cir, Kingsport, TN 37664-6200 | 2015-01-03 |
| 1407251879 | Caring Hearts Supportive Services, LLC | Day Training, Developmentally Disabled Services | 808 Kraft St, Suite D, Clarksville, TN 37040-4935 | 2014-10-28 |
| 1164830840 | Beyond Care Living, Inc | Day Training, Developmentally Disabled Services | 2711 Murfreesboro Pike, Suite 102, Antioch, TN 37013-2000 | 2014-07-25 |
| Find all providers with the same taxonomy | ||||
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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.