Provider Demographics
NPI:1285861138
Name:SITTERS ETC., INC.
Entity Type:Organization
Organization Name:SITTERS ETC., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BEAU
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:BROTHERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-373-3133
Mailing Address - Street 1:278 FRANKLIN RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5224
Mailing Address - Country:US
Mailing Address - Phone:615-373-3133
Mailing Address - Fax:615-373-3414
Practice Address - Street 1:278 FRANKLIN RD
Practice Address - Street 2:SUITE 103
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5224
Practice Address - Country:US
Practice Address - Phone:615-373-3133
Practice Address - Fax:615-373-3414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000003682253Z00000X
TNL000000003268253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH445005OtherTENNCARE PROVIDER NUMBER