Healthcare Provider Details
I. General information
NPI: 1902348279
Provider Name (Legal Business Name): CARESOUTH HHA HOLDINGS OF WINCHESTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/17/2016
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
53 CENTURY BLVD STE 170
NASHVILLE TN
37214-3693
US
IV. Provider business mailing address
6688 N CENTRAL EXPY STE 1300
DALLAS TX
75206-3950
US
V. Phone/Fax
- Phone: 615-889-3357
- Fax: 615-982-6227
- Phone: 214-239-6500
- Fax: 214-239-6581
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JULIE
DIANE
JOLLEY
Title or Position: EVP OF HOME HEALTH OPERATIONS
Credential:
Phone: 214-239-6500