Healthcare Provider Details

I. General information

NPI: 1811503246
Provider Name (Legal Business Name): LINK HOME SERVICES OF TN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 03/13/2024
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 W DUE WEST AVE
MADISON TN
37115-4568
US

IV. Provider business mailing address

180 SYLVAN AVE STE 2
ENGLEWOOD CLIFFS NJ
07632-2519
US

V. Phone/Fax

Practice location:
  • Phone: 917-855-2114
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
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: MARK FRIEDMAN
Title or Position: MEMBER
Credential:
Phone: 178-552-1149