Provider Demographics
NPI:1083976443
Name:SILVER CARE SOLUTIONS TN LLC
Entity Type:Organization
Organization Name:SILVER CARE SOLUTIONS TN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRAZIER
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-300-6892
Mailing Address - Street 1:1001 HAWKINS ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-4758
Mailing Address - Country:US
Mailing Address - Phone:615-244-5728
Mailing Address - Fax:
Practice Address - Street 1:1001 HAWKINS ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-4758
Practice Address - Country:US
Practice Address - Phone:615-244-5728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty