Provider Demographics
NPI:1821367483
Name:SAFE WATCH BY MONSIGNOR, LLC
Entity Type:Organization
Organization Name:SAFE WATCH BY MONSIGNOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-448-6420
Mailing Address - Street 1:1994 GALLATIN PIKE N STE 200
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-2024
Mailing Address - Country:US
Mailing Address - Phone:615-448-6420
Mailing Address - Fax:615-448-6414
Practice Address - Street 1:1994 GALLATIN PIKE N STE 200
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-2024
Practice Address - Country:US
Practice Address - Phone:615-448-6420
Practice Address - Fax:615-448-6414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000604493332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies