MEDICARE: CAREALL PERSONAL SERVICES, INC.

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	253Z00000X	In Home Supportive Care Agency	L000000005377	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	H445274	OTHER	TN	HCBS WAIVER

General Provider Information

NPI Number	:	1811210008
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREALL PERSONAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	4015 TRAVIS DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-3758
Country	:	US
Telephone Number	:	615-837-8187
Fax Number	:	615-837-2117

Provider Business Practice Location Address
First Line	:	4007 TRAVIS DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-3704
Country	:	US
Telephone Number	:	615-837-8187
Fax Number	:	615-837-2117

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAMES W CARELL
Credential	:
Telephone Number	:	615-781-0666

Provider Enumeration Date	:	03/02/2010
Last Update Date	:	03/02/2010

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