Provider Demographics
NPI:1518109982
Name:LV AT HM INC OR HOME INSTEAD
Entity Type:Organization
Organization Name:LV AT HM INC OR HOME INSTEAD
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FRANCHISE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:GARDENHIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-893-9993
Mailing Address - Street 1:7625 HAMILTON PARK DR
Mailing Address - Street 2:SUITE 14
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1188
Mailing Address - Country:US
Mailing Address - Phone:423-893-9993
Mailing Address - Fax:423-893-9975
Practice Address - Street 1:7104 BONNY OAKS DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1003
Practice Address - Country:US
Practice Address - Phone:423-893-9993
Practice Address - Fax:423-893-9975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000003717253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care