Provider Demographics
NPI:1306009923
Name:HOME TECHNOLOGY HEALTHCARE-TENNESSEE INC
Entity Type:Organization
Organization Name:HOME TECHNOLOGY HEALTHCARE-TENNESSEE INC
Other - Org Name:HOME CARE SOLUTIONS TYPE-DBA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:KEEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:615-690-4427
Mailing Address - Street 1:402 BNA DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2519
Mailing Address - Country:US
Mailing Address - Phone:615-690-4427
Mailing Address - Fax:615-365-0352
Practice Address - Street 1:402 BNA DR
Practice Address - Street 2:SUITE 205
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2519
Practice Address - Country:US
Practice Address - Phone:615-690-4427
Practice Address - Fax:615-365-0352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN338251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN447551Medicare Oscar/Certification