Healthcare Provider Details

I. General information

NPI: 1710640552
Provider Name (Legal Business Name): LSR CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 MURFREESBORO PIKE STE C205
NASHVILLE TN
37217-3438
US

IV. Provider business mailing address

104 WALTERS AVE
FRANKLIN TN
37067-2602
US

V. Phone/Fax

Practice location:
  • Phone: 615-586-7535
  • Fax: 615-692-0348
Mailing address:
  • Phone: 615-586-7535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LSR CORPORATION
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 615-586-7335