Healthcare Provider Details

I. General information

NPI: 1336699404
Provider Name (Legal Business Name): LOGAN SENIOR CARE, D.B.A., ALWAYS BEST CARE SENIOR SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2016
Last Update Date: 10/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4332 KENILWOOD DR
NASHVILLE TN
37204-4401
US

IV. Provider business mailing address

4332 KENILWOOD DR
NASHVILLE TN
37204-4401
US

V. Phone/Fax

Practice location:
  • Phone: 615-678-0293
  • Fax:
Mailing address:
  • Phone: 615-678-0293
  • Fax: 615-246-3882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JUSTIN HAMMOND
Title or Position: CARE COORDINATOR
Credential: LMSW
Phone: 615-337-6596