Healthcare Provider Details

I. General information

NPI: 1538647573
Provider Name (Legal Business Name): MAEGAN BOWERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2018
Last Update Date: 12/18/2019
Certification Date: 12/18/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 CATO RIDGE CT
NASHVILLE TN
37218-3630
US

IV. Provider business mailing address

509 CATO RIDGE CT
NASHVILLE TN
37218-3630
US

V. Phone/Fax

Practice location:
  • Phone: 615-397-6155
  • Fax: 615-953-6911
Mailing address:
  • Phone: 615-397-6155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberI000000024061
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: