Healthcare Provider Details

I. General information

NPI: 1275339228
Provider Name (Legal Business Name): OTHNIEL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 MURFREESBORO PIKE STE 500L
NASHVILLE TN
37217-2626
US

IV. Provider business mailing address

1321 MURFREESBORO PIKE STE 500L
NASHVILLE TN
37217-2626
US

V. Phone/Fax

Practice location:
  • Phone: 615-482-9435
  • Fax:
Mailing address:
  • Phone: 615-482-9435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: PETER E AIGBE
Title or Position: ADMINISTRATOR
Credential:
Phone: 615-424-6567