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General NPI Number Information
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NPI Number | 1184949059
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Entity Type | Organization
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Legal Business Name | SUNCREST HOME HEALTH OF NASHVILLE, INC.
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Dates
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Enumeration Date | 04/02/2010
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 2292 DALTON DR STE A
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City | CLARKSVILLE
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State | TN
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Zip | 37043-8961
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Country | US
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Telephone | 931-552-1674
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Fax | 931-552-1937
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Provider Business Mailing Address
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Address Line | 510 HOSPITAL DR SUITE 150
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City | MADISON
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State | TN
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Zip | 37115-5033
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Country | US
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Telephone | 615-627-9267
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Fax | 615-577-0081
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSHUA L PROFFITT
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Credential |
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Telephone | 337-233-1307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 293
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License Number State | TN
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