=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710833892
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | QUEEN B GENTLE HOME CARE ASSISTANCE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/10/2026
-----------------------------------------------------
Last Update Date | 03/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1718 BENJAMIN DRIVE
-----------------------------------------------------
City | MURFREESBORO
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37128
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-716-6494
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6339 CHARLOTTE PIKE
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37209-2926
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-716-6494
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CSO
-----------------------------------------------------
Name | LASHEENA K LEE
-----------------------------------------------------
Credential | LEE
-----------------------------------------------------
Telephone | 877-716-6494
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------