# CENTER FOR EXCELLENCE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376813642
- **Authorized official:** MR. CAMERON JABBAR JACKSON M. ED. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (615) 310-0287

## Contact information

- **Practice address:** 842 LAVERGNE LN, LA VERGNE, TN 37086-4272
- **Practice address phone:** (615) 669-3783
- **Practice address fax:** (270) 342-2596
- **Mailing address:** 842 LAVERGNE LN, LA VERGNE, TN 37086-4272
- **Mailing address phone:** (615) 669-3783
- **Mailing address fax:** (270) 342-2596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | I000000009757 | TN | Yes |

## Other

- **Enumeration date:** 01/04/2012
- **Last updated:** 05/01/2012