Healthcare Provider Details

I. General information

NPI: 1225621857
Provider Name (Legal Business Name): PEOPLE AT WORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2021
Last Update Date: 09/30/2021
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2585 KANLOW DR
ANTIOCH TN
37013-3951
US

IV. Provider business mailing address

PO BOX 1008
ANTIOCH TN
37011-1008
US

V. Phone/Fax

Practice location:
  • Phone: 615-635-3228
  • Fax: 615-523-2104
Mailing address:
  • Phone: 615-635-3228
  • Fax: 615-523-2104

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: STEVIE THOMAS WOODARD
Title or Position: CEO/DIRECTOR
Credential:
Phone: 615-635-3228