Provider Demographics
NPI:1316555774
Name:NEW LIVING HOME HEALTH CARE AGENCY INC.
Entity Type:Organization
Organization Name:NEW LIVING HOME HEALTH CARE AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENELL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-315-6872
Mailing Address - Street 1:2851 MORNING TRACE DR
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-2469
Mailing Address - Country:US
Mailing Address - Phone:901-315-6872
Mailing Address - Fax:
Practice Address - Street 1:2851 MORNING TRACE DR
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-2469
Practice Address - Country:US
Practice Address - Phone:901-315-6872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care