Healthcare Provider Details

I. General information

NPI: 1831967702
Provider Name (Legal Business Name): SILVER PLATE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2908 BRANTLEY DR
ANTIOCH TN
37013-5205
US

IV. Provider business mailing address

13 STATE PL
JOHNSON CITY TN
37601-9001
US

V. Phone/Fax

Practice location:
  • Phone: 615-416-2189
  • Fax:
Mailing address:
  • Phone: 615-693-6741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. VERNAL SWEETING
Title or Position: OWNER
Credential:
Phone: 615-416-2189