Healthcare Provider Details

I. General information

NPI: 1073319257
Provider Name (Legal Business Name): TERRYCARE SENIOR COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 CYPRESS RD
MASON TN
38049-7807
US

IV. Provider business mailing address

175 CYPRESS RD
MASON TN
38049-7807
US

V. Phone/Fax

Practice location:
  • Phone: 844-837-7948
  • Fax:
Mailing address:
  • Phone: 844-837-7948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROLYN TERRY
Title or Position: HEALTHCARE ADMIN, OWNER
Credential: BA HEALTHCARE ADMIN
Phone: 844-837-7948