MEDICARE: TAPESTRY CONCEPTS, 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	332B00000X	Durable Medical Equipment & Medical Supplies	105002502	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	06993111	OTHER	MS	MEDICAL EQUIP SUPPLY PERM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518901396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAPESTRY CONCEPTS, LLC

Provider Business Mailing Address
First Line	:	2723 SUMMER OAKS DR.
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38134-2858
Country	:	US
Telephone Number	:	901-312-3608
Fax Number	:	901-322-3496

Provider Business Practice Location Address
First Line	:	2723 SUMMER OAKS DR.
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38134-2858
Country	:	US
Telephone Number	:	901-312-3608
Fax Number	:	901-322-3496

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. JUDY ULLERY
Credential	:
Telephone Number	:	901-312-3608

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	09/28/2009

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