Provider Demographics
NPI:1497082101
Name:HOMELIFE LLC
Entity Type:Organization
Organization Name:HOMELIFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:DICKSON
Authorized Official - Last Name:RUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-604-6873
Mailing Address - Street 1:PO BOX 682713
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37068-2713
Mailing Address - Country:US
Mailing Address - Phone:615-604-6873
Mailing Address - Fax:615-791-0707
Practice Address - Street 1:228 PEBBLE GLEN DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2911
Practice Address - Country:US
Practice Address - Phone:615-604-6873
Practice Address - Fax:615-791-0707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00061638171W00000X
171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty