Healthcare Provider Details

I. General information

NPI: 1679196265
Provider Name (Legal Business Name): SAMANTHA CATCHINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 04/17/2021
Certification Date: 04/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 EASTPARK DR STE 300
BRENTWOOD TN
37027-7535
US

IV. Provider business mailing address

104 EASTPARK DR STE 300
BRENTWOOD TN
37027-7535
US

V. Phone/Fax

Practice location:
  • Phone: 615-371-6603
  • Fax:
Mailing address:
  • Phone: 601-863-9671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: