Provider Demographics
NPI:1578033791
Name:MUSIC CITY CARE INC.
Entity Type:Organization
Organization Name:MUSIC CITY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SELAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAREW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-928-8607
Mailing Address - Street 1:1321 MURFREESBORO PIKE STE 600
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2648
Mailing Address - Country:US
Mailing Address - Phone:615-928-8607
Mailing Address - Fax:615-667-6578
Practice Address - Street 1:1321 MURFREESBORO PIKE STE 600
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2648
Practice Address - Country:US
Practice Address - Phone:615-928-8607
Practice Address - Fax:615-667-6578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN000Q018575Medicaid