Healthcare Provider Details

I. General information

NPI: 1134882236
Provider Name (Legal Business Name): PHAREZ CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2021
Last Update Date: 10/16/2021
Certification Date: 10/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2945 STEAMBOAT DR
NASHVILLE TN
37214-1139
US

IV. Provider business mailing address

2945 STEAMBOAT DR
NASHVILLE TN
37214-1139
US

V. Phone/Fax

Practice location:
  • Phone: 615-586-2458
  • Fax:
Mailing address:
  • Phone: 615-586-2458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. OWUPELE MCINTOSH BAMSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 615-586-2458