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Contact Information

CORDERRO CARE LLC
575 S ROYAL ST STE 38
JACKSON, TN38301-7307
 Phone: 901-239-3812
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Home Health Aide

374U00000X
 

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for CORDERRO CARE LLC

NPI # 1588403224
LBN Legal business name CORDERRO CARE LLC
Authorized official AMAYA JOHNSON - (DIRECTOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2024
Last updated 05/30/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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