Healthcare Provider Details

I. General information

NPI: 1750112637
Provider Name (Legal Business Name): OPULENT HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2024
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4155 RHEA COUNTY HWY
DAYTON TN
37321-6070
US

IV. Provider business mailing address

4155 RHEA COUNTY HWY
DAYTON TN
37321-6070
US

V. Phone/Fax

Practice location:
  • Phone: 423-551-1899
  • Fax:
Mailing address:
  • Phone: 423-551-1899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TAMARA HENDLEY
Title or Position: OWNER
Credential:
Phone: 423-551-1899