Healthcare Provider Details

I. General information

NPI: 1013175215
Provider Name (Legal Business Name): LHC HOMECARE OF TENNESSEE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2008
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 TOWN CENTER PKWY STE 105
SPRING HILL TN
37174-4422
US

IV. Provider business mailing address

220 TOWN CENTER PKWY STE 105
SPRING HILL TN
37174-4422
US

V. Phone/Fax

Practice location:
  • Phone: 615-365-0300
  • Fax: 615-365-0390
Mailing address:
  • Phone: 615-365-0300
  • Fax: 615-365-0390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number56
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier00447513
Identifier TypeMEDICAID
Identifier StateTN
Identifier Issuer

VIII. Authorized Official

Name: AMBER L TUELLER
Title or Position: SECRETARY
Credential:
Phone: 208-207-2726