Healthcare Provider Details

I. General information

NPI: 1497394217
Provider Name (Legal Business Name): SIMPLY ELITE IN HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2019
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 N COLLEGE ST
LEBANON TN
37087-2823
US

IV. Provider business mailing address

123 N COLLEGE ST
LEBANON TN
37087-2823
US

V. Phone/Fax

Practice location:
  • Phone: 615-965-2250
  • Fax: 615-965-2789
Mailing address:
  • Phone: 615-965-2250
  • Fax: 615-965-2789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHERRI LYNN CANSLER
Title or Position: ADMIN. DIRECTOR
Credential:
Phone: 615-965-2250