Provider Demographics
NPI:1497056253
Name:HOME HEALTH SERVICES OF THE UPPER CUMBERLANDS, LLC
Entity Type:Organization
Organization Name:HOME HEALTH SERVICES OF THE UPPER CUMBERLANDS, LLC
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:MONKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-854-1605
Mailing Address - Street 1:1680 S JEFFERSON AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-2526
Mailing Address - Country:US
Mailing Address - Phone:931-854-1605
Mailing Address - Fax:931-854-1613
Practice Address - Street 1:1680 S JEFFERSON AVE
Practice Address - Street 2:SUITE A
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38506-2526
Practice Address - Country:US
Practice Address - Phone:931-854-1605
Practice Address - Fax:931-854-1613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNI000000007161251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health