Provider Demographics
NPI:1053680835
Name:CW HEALTHCARE, INC.
Entity Type:Organization
Organization Name:CW HEALTHCARE, INC.
Other - Org Name:PREFERRED CARE AT HOME OF N. DAVIDSON & SUMNER COUNTIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:WISSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-970-3737
Mailing Address - Street 1:4729 PHOENIX DR
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-1512
Mailing Address - Country:US
Mailing Address - Phone:615-970-3737
Mailing Address - Fax:615-600-4157
Practice Address - Street 1:4729 PHOENIX DR
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-1512
Practice Address - Country:US
Practice Address - Phone:615-970-3737
Practice Address - Fax:615-600-4157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000009839253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care