Healthcare Provider Details

I. General information

NPI: 1356262265
Provider Name (Legal Business Name): BELLALIFE DAY PROGRAM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2518 UNA ANTIOCH PIKE
ANTIOCH TN
37013-2908
US

IV. Provider business mailing address

3636 APPLEWOOD LN
ANTIOCH TN
37013-4844
US

V. Phone/Fax

Practice location:
  • Phone: 615-294-4159
  • Fax:
Mailing address:
  • Phone: 615-294-4159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA ANN ASBERRY
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 615-294-4159