Provider Demographics
NPI:1497394217
Name:SIMPLY ELITE IN HOME CARE, LLC
Entity Type:Organization
Organization Name:SIMPLY ELITE IN HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN. DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CANSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-965-2250
Mailing Address - Street 1:210 ALLIGOOD WAY
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37090-5360
Mailing Address - Country:US
Mailing Address - Phone:615-965-2250
Mailing Address - Fax:615-965-2789
Practice Address - Street 1:210 ALLIGOOD WAY
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37090-5360
Practice Address - Country:US
Practice Address - Phone:615-965-2250
Practice Address - Fax:615-965-2789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-26
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No253Z00000XAgenciesIn Home Supportive Care