Provider Demographics
NPI:1033268222
Name:GAP HOME MEDICAL
Entity Type:Organization
Organization Name:GAP HOME MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER SLEEP DISORDERS CLINIC
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:HOLT
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-771-0966
Mailing Address - Street 1:125 COOL SPRINGS BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:615-771-0966
Mailing Address - Fax:615-771-0946
Practice Address - Street 1:567 CASON LN STE A
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4871
Practice Address - Country:US
Practice Address - Phone:615-893-3339
Practice Address - Fax:615-893-4682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5013640002Medicare ID - Type Unspecified