Provider Demographics
NPI:1730318619
Name:A TOUCH OF GRACE HOSPICE OF NASHVILLE, LLC
Entity Type:Organization
Organization Name:A TOUCH OF GRACE HOSPICE OF NASHVILLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:D
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-731-7731
Mailing Address - Street 1:545 MAINSTREAM DR
Mailing Address - Street 2:SUITE 408
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1201
Mailing Address - Country:US
Mailing Address - Phone:615-733-3600
Mailing Address - Fax:615-733-9988
Practice Address - Street 1:545 MAINSTREAM DR
Practice Address - Street 2:SUITE 408
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1201
Practice Address - Country:US
Practice Address - Phone:615-733-3600
Practice Address - Fax:615-733-9988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based