=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003759804
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RESILIENCE COMMUNITY LIVING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/14/2026
-----------------------------------------------------
Last Update Date | 04/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 103 THICKET LN
-----------------------------------------------------
City | HENDERSONVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37075
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-439-3949
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11205 LEBANON RD UNIT 492
-----------------------------------------------------
City | MT JULIET
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37122-5545
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-439-3949
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/DIRECTOR
-----------------------------------------------------
Name | NAOMI R SHERRELL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 615-439-3949
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------