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NPI Code Detail

MEDICARE: TNMO HEALTHCARE, LLC

MEDICARE: TNMO HEALTHCARE, 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
1251G00000XCommunity Based Hospice Care Agency00000369TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407807688
Entity Type Code : Organization
Provider Name (Legal Business Name) : TNMO HEALTHCARE, LLC
Provider Business Mailing Address
First Line : PO BOX 4060
Second Line :
City : MOORESVILLE
State : NC
Zip : 28117-4060
Country : US
Telephone Number : 704-664-2876
Fax Number : 704-230-0946
Provider Business Practice Location Address
First Line : 7135 CHARLOTTE PIKE STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-5017
Country : US
Telephone Number : 615-889-5995
Fax Number : 615-889-5950
Authorized Official
Title or Position : VP OF REGULATORY COUNSEL
Name : JENNIFER TYLER
Credential :
Telephone Number : 678-449-0459
Provider Enumeration Date : 05/13/2006
Last Update Date : 06/23/2026

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