Provider Demographics
NPI:1639441397
Name:CARING HEARTS AND HANDS OF TENNESSEE, LLC
Entity Type:Organization
Organization Name:CARING HEARTS AND HANDS OF TENNESSEE, LLC
Other - Org Name:CARING HEARTS AND HANDS OF TENNESSEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMMIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-453-7165
Mailing Address - Street 1:226 BELLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PIGEON FORGE
Mailing Address - State:TN
Mailing Address - Zip Code:37863-3303
Mailing Address - Country:US
Mailing Address - Phone:865-453-7165
Mailing Address - Fax:865-429-1148
Practice Address - Street 1:226 BELLWOOD AVE
Practice Address - Street 2:
Practice Address - City:PIGEON FORGE
Practice Address - State:TN
Practice Address - Zip Code:37863-3303
Practice Address - Country:US
Practice Address - Phone:865-453-7165
Practice Address - Fax:865-429-1148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000010192253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care