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NPI Code Detail

MEDICARE: NORTHCREST HOME HEALTH

MEDICARE: NORTHCREST HOME HEALTH
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
1251E00000XHome Health Agency0000000203TN

General Provider Information

NPI Number : 1225119860
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHCREST HOME HEALTH
Provider Business Mailing Address
First Line : 3251 TOM AUSTIN HWY
Second Line :
City : SPRINGFIELD
State : TN
Zip : 37172-4525
Country : US
Telephone Number : 615-382-3830
Fax Number : 615-384-5102
Provider Business Practice Location Address
First Line : 3251 TOM AUSTIN HWY
Second Line :
City : SPRINGFIELD
State : TN
Zip : 37172-4525
Country : US
Telephone Number : 615-382-3830
Fax Number : 615-384-5102
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. SCOTT RAYNES
Credential :
Telephone Number : 615-384-2411
Provider Enumeration Date : 10/18/2006
Last Update Date : 08/22/2020

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Directions to “NORTHCREST HOME HEALTH ” Practice Location

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