Provider Demographics
NPI:1265025472
Name:SP HEALTHCARE INC
Entity Type:Organization
Organization Name:SP HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:GICHERU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-504-6154
Mailing Address - Street 1:6520 STAGE RD STE 133
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-3808
Mailing Address - Country:US
Mailing Address - Phone:901-504-6154
Mailing Address - Fax:
Practice Address - Street 1:6520 STAGE RD STE 133
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-3808
Practice Address - Country:US
Practice Address - Phone:901-504-6154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care