MEDICARE: HOME NEEDS HOME HEALTH

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	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1578134714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME NEEDS HOME HEALTH

Provider Business Mailing Address
First Line	:	712 ROMAN DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-3516
Country	:	US
Telephone Number	:	615-972-5960
Fax Number	:

Provider Business Practice Location Address
First Line	:	712 ROMAN DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-3516
Country	:	US
Telephone Number	:	615-972-5960
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHENELL GORDON
Credential	:	LICENSED NURSE
Telephone Number	:	615-972-5960

Provider Enumeration Date	:	07/08/2021
Last Update Date	:	09/08/2021

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