Provider Demographics
NPI:1821277732
Name:HOME HEALTH SENIOR SERVICE
Entity Type:Organization
Organization Name:HOME HEALTH SENIOR SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:BELL
Authorized Official - Last Name:LOUALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-949-8297
Mailing Address - Street 1:181 HILL CIR
Mailing Address - Street 2:
Mailing Address - City:DUNLAP
Mailing Address - State:TN
Mailing Address - Zip Code:37327-3437
Mailing Address - Country:US
Mailing Address - Phone:423-949-8297
Mailing Address - Fax:
Practice Address - Street 1:181 HILL CIR
Practice Address - Street 2:
Practice Address - City:DUNLAP
Practice Address - State:TN
Practice Address - Zip Code:37327-3437
Practice Address - Country:US
Practice Address - Phone:423-949-8297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN311ZA0620X311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home