Provider Demographics
NPI:1821570144
Name:EACH1 PERSONAL CARE SERVICES
Entity Type:Organization
Organization Name:EACH1 PERSONAL CARE SERVICES
Other - Org Name:EACH1 PERSONAL CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:901-574-3581
Mailing Address - Street 1:22 CARLTON PL
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-7938
Mailing Address - Country:US
Mailing Address - Phone:901-574-3581
Mailing Address - Fax:
Practice Address - Street 1:22 CARLTON PL
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-7938
Practice Address - Country:US
Practice Address - Phone:901-574-3581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0100407261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care