Healthcare Provider Details

I. General information

NPI: 1649245523
Provider Name (Legal Business Name): AHP HOME CARE ALLIANCE OF TENNESSEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 07/23/2021
Certification Date: 07/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5211 LINBAR DR SUITE 506
NASHVILLE TN
37211-1030
US

IV. Provider business mailing address

PO BOX 532697
ATLANTA GA
30353-2697
US

V. Phone/Fax

Practice location:
  • Phone: 615-832-0881
  • Fax: 615-832-1205
Mailing address:
  • Phone: 229-257-0075
  • Fax: 229-259-0726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number425
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0000001448
License Number StateTN

VIII. Authorized Official

Name: MR. GREG MCCARTHY
Title or Position: COO
Credential:
Phone: 727-530-7700