Provider Demographics
NPI:1013083195
Name:HOME HEALTH CONCEPTS, INC.
Entity Type:Organization
Organization Name:HOME HEALTH CONCEPTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NILAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:ADCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-597-7777
Mailing Address - Street 1:PO BOX 90
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37166-0090
Mailing Address - Country:US
Mailing Address - Phone:615-597-7777
Mailing Address - Fax:615-597-7566
Practice Address - Street 1:206 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37166-1339
Practice Address - Country:US
Practice Address - Phone:615-597-7777
Practice Address - Fax:615-597-7566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000060251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
199108OtherCARECENTRIX
1101227OtherHEALTHSPRING -MCARE ADV
447176Medicare ID - Type Unspecified