Provider Demographics
NPI:1356640940
Name:CAREHERE, LLC
Entity Type:Organization
Organization Name:CAREHERE, LLC
Other - Org Name:CAREHERE BNA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEVENGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-221-5901
Mailing Address - Street 1:5141 VIRGINIA WAY
Mailing Address - Street 2:STE 350
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7572
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 TERMINAL DR
Practice Address - Street 2:SUITE 957
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-4112
Practice Address - Country:US
Practice Address - Phone:615-275-1824
Practice Address - Fax:615-469-5000
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREHERE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-22
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty