Provider Demographics
NPI:1467910992
Name:MILESTONE HOME HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:MILESTONE HOME HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAKPOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-525-7387
Mailing Address - Street 1:3808 DAHLGREEN CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-4673
Mailing Address - Country:US
Mailing Address - Phone:615-525-7387
Mailing Address - Fax:
Practice Address - Street 1:1037 JEFFERSON ST STE G
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-2554
Practice Address - Country:US
Practice Address - Phone:615-710-2042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities