Healthcare Provider Details

I. General information

NPI: 1508172537
Provider Name (Legal Business Name): HOME WITH HOPE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 08/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 OVERLOOK CIR STE 105
BRENTWOOD TN
37027-2720
US

IV. Provider business mailing address

214 OVERLOOK CIR STE 105
BRENTWOOD TN
37027-2720
US

V. Phone/Fax

Practice location:
  • Phone: 615-661-4544
  • Fax: 615-661-4505
Mailing address:
  • Phone: 615-661-4544
  • Fax: 615-661-4505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: ERIC BROWN
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 615-661-4544