Provider Demographics
NPI:1548211717
Name:VOLUNTEER HOME CARE OF WEST TENNESSEE INC.
Entity Type:Organization
Organization Name:VOLUNTEER HOME CARE OF WEST TENNESSEE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-388-3000
Mailing Address - Street 1:68 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:TN
Mailing Address - Zip Code:38363-2012
Mailing Address - Country:US
Mailing Address - Phone:731-847-8250
Mailing Address - Fax:731-847-8255
Practice Address - Street 1:68 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:TN
Practice Address - Zip Code:38363-2012
Practice Address - Country:US
Practice Address - Phone:731-847-8250
Practice Address - Fax:731-847-8255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000063251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4049329OtherBCBS
TN0447561Medicaid
TN4049329OtherTENNCARE SELECT
TN2864OtherMEMPHIS MANAGED CARE
TN55796OtherUAHC HEALTH PLAN
447561Medicare PIN