Healthcare Provider Details

I. General information

NPI: 1265394613
Provider Name (Legal Business Name): EFFECTIVE OUTCOMES HEALTHCARE STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8267 WEATHERWOOD LN
CORDOVA TN
38018-6346
US

IV. Provider business mailing address

PO BOX 381008
GERMANTOWN TN
38183-1008
US

V. Phone/Fax

Practice location:
  • Phone: 901-640-3644
  • Fax: 901-754-8469
Mailing address:
  • Phone: 901-640-3644
  • Fax: 901-754-8469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DORETHA CLAY-GOODEN TRUITT
Title or Position: OWNER/CHIEF EXECUTIVE MANAGER
Credential: RN MSN
Phone: 901-603-1809