=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205022696
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOME MEDICAL SOLUTIONS, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/19/2007
-----------------------------------------------------
Last Update Date | 09/24/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 404 CASTLE HEIGHTS AVE
-----------------------------------------------------
City | LEBANON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37087-3805
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-453-5310
-----------------------------------------------------
Fax | 615-453-9347
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 158
-----------------------------------------------------
City | LEBANON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37088-0158
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-453-5310
-----------------------------------------------------
Fax | 615-453-9347
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADVANCED NURSE PRACTIONIER /OWNER
-----------------------------------------------------
Name | AMY L POWERS
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 615-453-5310
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------