Healthcare Provider Details

I. General information

NPI: 1407807688
Provider Name (Legal Business Name): TNMO HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 10/20/2022
Certification Date: 10/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 PERIMETER PLACE DR STE 105
NASHVILLE TN
37214-3674
US

IV. Provider business mailing address

PO BOX 4060
MOORESVILLE NC
28117-4060
US

V. Phone/Fax

Practice location:
  • Phone: 615-889-5995
  • Fax: 615-889-5950
Mailing address:
  • Phone: 704-664-2876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number00000369
License Number StateTN

VIII. Authorized Official

Name: JANET COMBS
Title or Position: VP LICENSURE
Credential:
Phone: 913-814-2013