Healthcare Provider Details

I. General information

NPI: 1639485477
Provider Name (Legal Business Name): MCGEE HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2010
Last Update Date: 08/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 CLEARVIEW AVE
NASHVILLE TN
37206-2805
US

IV. Provider business mailing address

1007 CLEARVIEW AVE
NASHVILLE TN
37206-2805
US

V. Phone/Fax

Practice location:
  • Phone: 615-891-3956
  • Fax: 615-891-3957
Mailing address:
  • Phone: 615-891-3956
  • Fax: 615-891-3957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberL000000007119
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberL000000007119
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License NumberL000000007119
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberL000000007119
License Number StateTN

VIII. Authorized Official

Name: MS. AMY V MCGEE
Title or Position: DIRECTOR/OWNER
Credential: RN, MBA
Phone: 615-891-3857