Provider Demographics
NPI:1073939526
Name:PERFORMANCE CARE, LLC
Entity Type:Organization
Organization Name:PERFORMANCE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:STRICKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-771-2026
Mailing Address - Street 1:2713 MCCAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-2935
Mailing Address - Country:US
Mailing Address - Phone:618-771-2026
Mailing Address - Fax:
Practice Address - Street 1:2713 MCCAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214
Practice Address - Country:US
Practice Address - Phone:618-771-2026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-07
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty