Provider Demographics
NPI:1942646773
Name:TIMECK GROUP INC
Entity Type:Organization
Organization Name:TIMECK GROUP INC
Other - Org Name:TIMECK CARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-873-1013
Mailing Address - Street 1:2201 MURFREESBORO PIKE
Mailing Address - Street 2:SUITE C200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3327
Mailing Address - Country:US
Mailing Address - Phone:615-873-1013
Mailing Address - Fax:
Practice Address - Street 1:2201 MURFREESBORO PIKE
Practice Address - Street 2:SUITE C200
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3327
Practice Address - Country:US
Practice Address - Phone:615-873-1013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-20
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000012164253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH445754Medicaid