Healthcare Provider Details

I. General information

NPI: 1891562112
Provider Name (Legal Business Name): REACH KIDNEY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2023
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1633 CHURCH ST STE 200
NASHVILLE TN
37203-2947
US

IV. Provider business mailing address

1633 CHURCH ST STE 500
NASHVILLE TN
37203-2948
US

V. Phone/Fax

Practice location:
  • Phone: 833-447-4397
  • Fax: 833-453-0101
Mailing address:
  • Phone: 615-327-3061
  • Fax: 615-963-9730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DONOVAN SCHULTZ
Title or Position: PRESIDENT
Credential:
Phone: 615-327-3061