Healthcare Provider Details

I. General information

NPI: 1538555842
Provider Name (Legal Business Name): 1 AND ONLY HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 06/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7381 MARTINGALE XING APT 204
CORDOVA TN
38016-9108
US

IV. Provider business mailing address

7381 MARTINGALE XING APT 204
CORDOVA TN
38016-9108
US

V. Phone/Fax

Practice location:
  • Phone: 901-292-1890
  • Fax:
Mailing address:
  • Phone: 901-292-1890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: ORLANDIA DENISE AUSTIN
Title or Position: FOUNDER, CEO
Credential:
Phone: 901-292-1890