Provider Demographics
NPI:1134851249
Name:TENNESSEE CARE SERVICES LLC
Entity type:Organization
Organization Name:TENNESSEE CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACINTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:629-244-5494
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37065-0277
Mailing Address - Country:US
Mailing Address - Phone:629-244-5494
Mailing Address - Fax:
Practice Address - Street 1:3163 S CHURCH ST STE C
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37127-7175
Practice Address - Country:US
Practice Address - Phone:615-912-2272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care