Healthcare Provider Details

I. General information

NPI: 1801912837
Provider Name (Legal Business Name): PITT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10435 LATTING RD
CORDOVA TN
38016-5508
US

IV. Provider business mailing address

10435 LATTING RD
CORDOVA TN
38016-5508
US

V. Phone/Fax

Practice location:
  • Phone: 901-485-5992
  • Fax: 901-752-1539
Mailing address:
  • Phone: 901-485-5992
  • Fax: 901-752-1539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierH445038
Identifier TypeMEDICAID
Identifier StateTN
Identifier Issuer

VIII. Authorized Official

Name: MRS. TERESA R PITTS
Title or Position: CASE MANAGEMENT SUPERVISER, VP
Credential: RN
Phone: 901-485-5992