MEDICARE: HOMEVENT CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1467955542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMEVENT CARE LLC

Provider Business Mailing Address
First Line	:	419 PIN HOOK ROAD
Second Line	:
City	:	SPRING CITY
State	:	TN
Zip	:	37381-4706
Country	:	US
Telephone Number	:	423-452-1091
Fax Number	:	423-521-1092

Provider Business Practice Location Address
First Line	:	419 PIN HOOK ROAD
Second Line	:
City	:	SPRING CITY
State	:	TN
Zip	:	37381-4706
Country	:	US
Telephone Number	:	423-452-1091
Fax Number	:	423-238-5137

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	RICHARD MORRISON
Credential	:
Telephone Number	:	423-883-2747

Provider Enumeration Date	:	03/14/2018
Last Update Date	:	10/17/2023

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