MEDICARE: QUEEN B GENTLE HOME CARE ASSISTANCE

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

General Provider Information

NPI Number	:	1710833892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUEEN B GENTLE HOME CARE ASSISTANCE

Provider Business Mailing Address
First Line	:	6339 CHARLOTTE PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-2926
Country	:	US
Telephone Number	:	877-716-6494
Fax Number	:

Provider Business Practice Location Address
First Line	:	1718 BENJAMIN DRIVE
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128
Country	:	US
Telephone Number	:	877-716-6494
Fax Number	:

Authorized Official
Title or Position	:	CSO
Name	:	LASHEENA K LEE
Credential	:	LEE
Telephone Number	:	877-716-6494

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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