MEDICARE: CARVERA QUALITY CARE SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1023899556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARVERA QUALITY CARE SERVICES, INC

Provider Business Mailing Address
First Line	:	309 PLUS PARK BLVD STE 230
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-1005
Country	:	US
Telephone Number	:	615-622-5583
Fax Number	:	615-577-0890

Provider Business Practice Location Address
First Line	:	309 PLUS PARK BLVD STE 230
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-1005
Country	:	US
Telephone Number	:	615-622-5583
Fax Number	:	615-577-0890

Authorized Official
Title or Position	:	CEO
Name	:	MRS. NICOLE ITSEDE
Credential	:
Telephone Number	:	615-767-6878

Provider Enumeration Date	:	10/10/2023
Last Update Date	:	11/15/2024

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