Healthcare Provider Details

I. General information

NPI: 1689493447
Provider Name (Legal Business Name): TENNESSEE VALLEY HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2024
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 NEAL ST STE E&F
MARTIN TN
38237-2415
US

IV. Provider business mailing address

6303 COWBOYS WAY STE 600
FRISCO TX
75034-0329
US

V. Phone/Fax

Practice location:
  • Phone: 731-587-0072
  • Fax:
Mailing address:
  • Phone: 205-725-6236
  • 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: MS. HEATHER DIXON
Title or Position: PRESIDENT & COO
Credential:
Phone: 469-535-8200