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
1	251G00000X	Community Based Hospice Care Agency	00000369	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID 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	:	2525 PERIMETER PLACE DR STE 105
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3674
Country	:	US
Telephone Number	:	615-889-5995
Fax Number	:	615-889-5950

Authorized Official
Title or Position	:	VP LICENSURE
Name	:	JANET COMBS
Credential	:
Telephone Number	:	704-662-1761

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	01/21/2026

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Directions to “TNMO HEALTHCARE, LLC ” Practice Location

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