Provider Demographics
NPI:1972568335
Name:UNIVERSITY HOME HEALTH, LLC
Entity Type:Organization
Organization Name:UNIVERSITY HOME HEALTH, LLC
Other - Org Name:CAREALL HOME CARE SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CARELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-781-0666
Mailing Address - Street 1:135 KENNEDY DR
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:TN
Mailing Address - Zip Code:38237-3309
Mailing Address - Country:US
Mailing Address - Phone:731-587-2996
Mailing Address - Fax:731-587-3116
Practice Address - Street 1:135 KENNEDY DR
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:TN
Practice Address - Zip Code:38237-3309
Practice Address - Country:US
Practice Address - Phone:731-587-2996
Practice Address - Fax:731-587-3116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000276251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN01-035024OtherAMERIGROUP COMMUNITY CARE
TN447225Medicaid
TNA3823700OtherAMERICHOICE
TN4167964OtherBC/BS OF TN PROVIDER NUMBER
TNA3823700OtherAMERICHOICE