Healthcare Provider Details

I. General information

NPI: 1285685826
Provider Name (Legal Business Name): SAINT THOMAS HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 BNA DR STE 320
NASHVILLE TN
37217-2546
US

IV. Provider business mailing address

402 BNA DR STE 320
NASHVILLE TN
37217-2546
US

V. Phone/Fax

Practice location:
  • Phone: 615-367-1656
  • Fax: 615-367-1659
Mailing address:
  • Phone: 615-367-1656
  • Fax: 615-367-1659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0000000194
License Number StateTN

VIII. Authorized Official

Name: ROBERT USSERY
Title or Position: AUTHORIZED OFFICER
Credential:
Phone: 615-890-2020