Healthcare Provider Details

I. General information

NPI: 1518418920
Provider Name (Legal Business Name): HOME CARE PREFERENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2016
Last Update Date: 12/07/2024
Certification Date: 12/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MALLORY LN STE D
BRENTWOOD TN
37027-2818
US

IV. Provider business mailing address

1800 MALLORY LN STE D
BRENTWOOD TN
37027-2818
US

V. Phone/Fax

Practice location:
  • Phone: 615-916-0664
  • Fax:
Mailing address:
  • Phone: 615-258-5539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number1000000018966
License Number StateTN

VIII. Authorized Official

Name: DELPHINE ASONFAC BURDICK
Title or Position: OWNER
Credential:
Phone: 615-603-1636