Healthcare Provider Details

I. General information

NPI: 1801424403
Provider Name (Legal Business Name): T-LOWE SENIOR HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 06/08/2022
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 BURROUGHS RD
ALCOA TN
37701-2322
US

IV. Provider business mailing address

860 BURROUGHS RD
ALCOA TN
37701-2322
US

V. Phone/Fax

Practice location:
  • Phone: 865-333-2183
  • Fax: 865-336-1978
Mailing address:
  • Phone: 865-333-2183
  • Fax: 865-336-1978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMIKA SHANTELL LOWE
Title or Position: CEO
Credential:
Phone: 865-333-2183