Healthcare Provider Details

I. General information

NPI: 1861336521
Provider Name (Legal Business Name): ENRICHMENT AT HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 LEATHERWOOD RD
WHITE BLUFF TN
37187-5318
US

IV. Provider business mailing address

1775 LEATHERWOOD RD
WHITE BLUFF TN
37187-5318
US

V. Phone/Fax

Practice location:
  • Phone: 615-412-9404
  • Fax:
Mailing address:
  • Phone: 615-412-9404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: JAIME WILLIAM
Title or Position: OWNER/DIRECTOR
Credential: WILLIAM
Phone: 615-504-8356