Healthcare Provider Details

I. General information

NPI: 1275259087
Provider Name (Legal Business Name): ACCENTCARE HOME HEALTH OF WEST TENNESSEE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2022
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 RIDGE LAKE BLVD STE 140
MEMPHIS TN
38120-9448
US

IV. Provider business mailing address

225 W MULBERRY ST SUITE 102 ATTN MECCA
DENTON TX
76201
US

V. Phone/Fax

Practice location:
  • Phone: 901-203-8202
  • Fax: 901-201-6135
Mailing address:
  • Phone: 940-220-2074
  • 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: DENA SCHWARTZ-DOTY
Title or Position: VP TAX
Credential:
Phone: 972-201-3819