Provider Demographics
NPI:1750058129
Name:BO TI HEALTH NASHVILLE
Entity Type:Organization
Organization Name:BO TI HEALTH NASHVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LOOMIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-426-9843
Mailing Address - Street 1:901 WOODLAND ST STE 104
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-3792
Mailing Address - Country:US
Mailing Address - Phone:844-426-9843
Mailing Address - Fax:
Practice Address - Street 1:901 WOODLAND ST STE 104
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-3792
Practice Address - Country:US
Practice Address - Phone:844-426-9843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
No251E00000XAgenciesHome Health