MEDICARE: HOME TECHNOLOGY HEALTHCARE-TENNESSEE INC

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	251E00000X	Home Health Agency	338	TN
2	251E00000X	Home Health Agency	56	TN

General Provider Information

NPI Number	:	1518969682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME TECHNOLOGY HEALTHCARE-TENNESSEE INC

Provider Business Mailing Address
First Line	:	402 BNA DR
Second Line	:	SUITE 205
City	:	NASHVILLE
State	:	TN
Zip	:	37217-2519
Country	:	US
Telephone Number	:	615-690-4427
Fax Number	:	615-365-0303

Provider Business Practice Location Address
First Line	:	402 BNA DR
Second Line	:	STE 205
City	:	NASHVILLE
State	:	TN
Zip	:	37217
Country	:	US
Telephone Number	:	615-690-4427
Fax Number	:	615-365-0303

Authorized Official
Title or Position	:	COO
Name	:	MS. GLORIA J KEEN
Credential	:	RN
Telephone Number	:	615-690-4427

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	09/02/2008

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