MEDICARE: TRUSTED CAREGIVERS 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	253Z00000X	In Home Supportive Care Agency	0084157	TN

General Provider Information

NPI Number	:	1760774335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTED CAREGIVERS LLC

Provider Business Mailing Address
First Line	:	6424 TRAILS END RD
Second Line	:
City	:	COLLEGE GROVE
State	:	TN
Zip	:	37046-9145
Country	:	US
Telephone Number	:	615-368-7242
Fax Number	:	615-368-7242

Provider Business Practice Location Address
First Line	:	6424 TRAILS END RD
Second Line	:
City	:	COLLEGE GROVE
State	:	TN
Zip	:	37046-9145
Country	:	US
Telephone Number	:	615-368-7242
Fax Number	:	615-368-7242

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. BONNIE BARBER HALL
Credential	:
Telephone Number	:	615-368-7242

Provider Enumeration Date	:	05/13/2011
Last Update Date	:	05/13/2011

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