OrganizationActive
Extendicare of West Tn
NPI 1356606735 · Home Health Agency · Jackson, TN
Extendicare of West Tn is a Home Health Agency organization in Jackson, TN (NPI 1356606735).
Provider details
- NPI number
- 1356606735
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Parent organization
- Lhc Group
- Organization subpart
- Yes
- Authorized official
- Shelley King, Hysical Therapist Assistant(731) 660-2171
- License
- 4019 (TN)
Specialties & taxonomies
Agencies
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
250 N Parkway
Suite 4
Jackson, TN 38305-2735
Phone: (731) 668-1372
Fax: (731) 664-9919
Approximate (ZIP-level) locationGet directions
Mailing address
97 Thornfield Dr
Bells, TN 38006-5128
Registry dates
- Enumerated
- 2012-07-11
- Last updated
- 2012-07-11
Frequently asked questions
- What is Extendicare of West Tn's NPI number?
- Extendicare of West Tn's National Provider Identifier (NPI) is 1356606735, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Extendicare of West Tn?
- Extendicare of West Tn is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Extendicare of West Tn located?
- Extendicare of West Tn's practice location on file with NPPES is 250 N Parkway, Jackson, TN 38305-2735.
- What is Extendicare of West Tn's phone number?
- The practice phone number listed in the NPPES registry for Extendicare of West Tn is (731) 668-1372.
- Who is the authorized official for Extendicare of West Tn?
- The authorized official listed on Extendicare of West Tn's NPPES record is Shelley King, Hysical Therapist Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Extendicare of West Tn's NPI active?
- Yes — Extendicare of West Tn's NPI (1356606735) is active in the NPPES registry as of the last update on 2012-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.