Provider Demographics
NPI:1093045866
Name:TN CARE SERVICES-LLC
Entity Type:Organization
Organization Name:TN CARE SERVICES-LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR. HUMAN RESOURCES
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:FORDHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-360-5974
Mailing Address - Street 1:640 SPENCE LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-1149
Mailing Address - Country:US
Mailing Address - Phone:615-360-5974
Mailing Address - Fax:615-360-5974
Practice Address - Street 1:640 SPENCE LN
Practice Address - Street 2:SIUTE 100
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-1149
Practice Address - Country:US
Practice Address - Phone:615-360-5974
Practice Address - Fax:615-360-5974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-30
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000004255251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health