Healthcare Provider Details
I. General information
NPI: 1003581448
Provider Name (Legal Business Name): INHOME RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/09/2021
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
106 MISSION CT STE 201A
FRANKLIN TN
37067-6441
US
IV. Provider business mailing address
9102 HERITAGE DR
BRENTWOOD TN
37027-8528
US
V. Phone/Fax
- Phone: 615-390-2865
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KEVIN
D
LEE
Title or Position: PRESIDENT
Credential:
Phone: 615-973-3500