Healthcare Provider Details
I. General information
NPI: 1447562277
Provider Name (Legal Business Name): ELECT HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2010
Last Update Date: 07/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1862 POPLAR CREST CV
MEMPHIS TN
38119-4827
US
IV. Provider business mailing address
1862 POPLAR CREST CV
MEMPHIS TN
38119-4827
US
V. Phone/Fax
- Phone: 901-683-4443
- Fax: 901-683-4454
- Phone: 901-683-4443
- Fax: 901-683-4454
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333300000X |
| Taxonomy | Emergency Response System Companies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | L000000006023 |
| License Number State | TN |
VIII. Authorized Official
Name:
STEVE
CHANDLER
Title or Position: CEO
Credential:
Phone: 901-683-4443