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EXTENDICARE OF WEST TN
NPI 1356606735
Home Health in Jackson, TN

Active since July 11, 2012
250 N PARKWAY, SUITE 4, JACKSON, TN 38305(731) 668-1372(731) 664-9919 Get Directions Write a Review

NPPES record last updated: July 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Extendicare Of West Tn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXTENDICARE OF WEST TN (NPI 1356606735) is a healthcare organization registered as a home health in Jackson, Tennessee and active in the NPI registry since July 2012. The organization lists Shelley Dawn King, Hysical Therapist Assistant, as its authorized official.

NPPES Registry Identity

NPI1356606735
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameEXTENDICARE OF WEST TN
Location Address250 N PARKWAY, SUITE 4Jackson, TN 38305-2735
Mailing Address97 Thornfield DrBells, TN 38006-5128 · (731) 660-2171 · Fax (731) 660-2171
Phone(731) 668-1372
Fax(731) 664-9919
Organization SubpartYesParent: Lhc Group
Authorized OfficialShelley Dawn KingHysical Therapist Assistant · (731) 660-2171
Enumeration DateJuly 11, 2012
✔ NPI 1356606735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in TN · 4019
Definition
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.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X · License 4019 (TN)
250 N PARKWAY, Jackson, TN 38305
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOUND CARE CLINIC SD INC
Nurse Practitioner
250 N PARKWAY
JACKSON, TN 38305
Madison County (731) 664-8400
MRS. SHELLEY DAWN KING
Physical Therapy Assistant
250 N PARKWAY, SUITE 4
JACKSON, TN 38305
Madison County (731) 668-1372
TERRI LANDRY
Health Maintenance Organization
250 N PARKWAY, STE 4
JACKSON, TN 38305
Madison County (731) 668-1372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Extendicare Of West Tn's NPI number?

The NPI number for Extendicare Of West Tn is 1356606735. It was assigned to this organization in the NPPES registry on July 11, 2012.

Where is Extendicare Of West Tn located?

Extendicare Of West Tn is located at 250 N Parkway Suite 4, Jackson, TN 38305. The listed phone number is (731) 668-1372.

What is Extendicare Of West Tn's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Extendicare Of West Tn was last updated on July 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.