Provider Demographics
NPI:1598059024
Name:DME TENNESSEE LLC
Entity Type:Organization
Organization Name:DME TENNESSEE LLC
Other - Org Name:DME OF NASHVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-375-1094
Mailing Address - Street 1:PO BOX 1017
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37056-1017
Mailing Address - Country:US
Mailing Address - Phone:615-375-1094
Mailing Address - Fax:615-446-7483
Practice Address - Street 1:460 HIGHWAY 46 S
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2525
Practice Address - Country:US
Practice Address - Phone:615-375-1094
Practice Address - Fax:615-246-3827
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALANA HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-01
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000710332B00000X
TN0003457332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4309126OtherBCBS
TN1526708Medicaid
TN6548100005Medicare NSC