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NPI Code Detail

MEDICARE: TN HOME CARE LLC

MEDICARE: TN HOME CARE LLC
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1245807155
Entity Type Code : Organization
Provider Name (Legal Business Name) : TN HOME CARE LLC
Provider Business Mailing Address
First Line : 2997 LIVERPOOL DR
Second Line :
City : SPRING HILL
State : TN
Zip : 37174-1120
Country : US
Telephone Number : 615-689-0184
Fax Number :
Provider Business Practice Location Address
First Line : 2997 LIVERPOOL DR
Second Line :
City : SPRING HILL
State : TN
Zip : 37174-1120
Country : US
Telephone Number : 615-689-0184
Fax Number :
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : BRANNON MATTHEWS
Credential :
Telephone Number : 615-689-0184
Provider Enumeration Date : 06/09/2021
Last Update Date : 06/09/2021

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Directions to “TN HOME CARE LLC ” Practice Location

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