Provider Demographics
NPI:1164664587
Name:TENN HQ, INC.
Entity Type:Organization
Organization Name:TENN HQ, INC.
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-454-2202
Mailing Address - Street 1:101 W LINCOLN ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-3570
Mailing Address - Country:US
Mailing Address - Phone:931-454-2202
Mailing Address - Fax:931-913-1210
Practice Address - Street 1:101 W LINCOLN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-3570
Practice Address - Country:US
Practice Address - Phone:931-454-2202
Practice Address - Fax:931-913-1210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000003470253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care