MEDICARE: PAISLEY''S PROMISE HOME HEALTH, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QA0600X	Adult Day Care Clinic/Center
2	347E00000X	Transportation Broker
3	374U00000X	Home Health Aide
4	385H00000X	Respite Care
5	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
6	251C00000X	Developmentally Disabled Services Day Training Agency
7	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1407611817
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAISLEY''S PROMISE HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	4540 QUEENS LN
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37218-1030
Country	:	US
Telephone Number	:	615-268-1936
Fax Number	:

Provider Business Practice Location Address
First Line	:	2012 8TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-2202
Country	:	US
Telephone Number	:	615-268-1936
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAUNDRA DAVIS
Credential	:
Telephone Number	:	615-268-1936

Provider Enumeration Date	:	02/15/2024
Last Update Date	:	02/15/2024

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