MEDICARE: HOPE IS ON THE WAY IN HOME HEALTH INCORPORATED

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	251E00000X	Home Health Agency	I000000005381	TN

General Provider Information

NPI Number	:	1063748135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE IS ON THE WAY IN HOME HEALTH INCORPORATED

Provider Business Mailing Address
First Line	:	3540 SUMMER AVE
Second Line	:	SUITE 212
City	:	MEMPHIS
State	:	TN
Zip	:	38122-3600
Country	:	US
Telephone Number	:	901-452-9300
Fax Number	:	800-970-1790

Provider Business Practice Location Address
First Line	:	3540 SUMMER AVE
Second Line	:	SUITE 212
City	:	MEMPHIS
State	:	TN
Zip	:	38122-3600
Country	:	US
Telephone Number	:	901-452-9300
Fax Number	:	800-970-1790

Authorized Official
Title or Position	:	CEO
Name	:	MR. TROY A TURNER
Credential	:
Telephone Number	:	901-452-9300

Provider Enumeration Date	:	10/26/2009
Last Update Date	:	10/26/2009

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