Provider Demographics
NPI:1326580507
Name:GREAT CARE HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:GREAT CARE HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:MUKANDERA
Authorized Official - Last Name:GATES
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:615-715-8403
Mailing Address - Street 1:241 NORTHCREST COMMONS CIR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5464
Mailing Address - Country:US
Mailing Address - Phone:615-715-8403
Mailing Address - Fax:615-312-0233
Practice Address - Street 1:241 NORTHCREST COMMONS CIR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5464
Practice Address - Country:US
Practice Address - Phone:615-715-8403
Practice Address - Fax:615-312-0233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-05
Last Update Date:2016-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000019173251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health