Healthcare Provider Details

I. General information

NPI: 1396702536
Provider Name (Legal Business Name): TENNESSEE VALLEY HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 TENNESSEE AVE N
PARSONS TN
38363
US

IV. Provider business mailing address

6303 COWBOYS WAY STE 600
FRISCO TX
75034-0329
US

V. Phone/Fax

Practice location:
  • Phone: 731-847-9228
  • Fax: 731-847-7856
Mailing address:
  • Phone: 469-535-8200
  • Fax: 205-379-6720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0000000221
License Number StateTN

VIII. Authorized Official

Name: MS. HEATHER DIXON
Title or Position: PRESIDENT/ COO
Credential:
Phone: 469-535-8200