Healthcare Provider Details

I. General information

NPI: 1548565567
Provider Name (Legal Business Name): HANDSON HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2011
Last Update Date: 02/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 POPLAR AVE SUITE 250
MEMPHIS TN
38119-3981
US

IV. Provider business mailing address

6000 POPLAR AVE SUITE 250
MEMPHIS TN
38119-3981
US

V. Phone/Fax

Practice location:
  • Phone: 901-261-5441
  • Fax: 901-261-5401
Mailing address:
  • Phone: 901-261-5441
  • Fax: 901-261-5401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberI000000008012
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberI000000008012
License Number StateTN

VIII. Authorized Official

Name: MS. TRACEY L HARRIS
Title or Position: ADMINISTRATIVE DIRECTOR
Credential: M.A.ED.
Phone: 901-261-5441