Provider Demographics
NPI:1205259876
Name:HEALTHCARE EMPLOYER TN, LLC
Entity type:Organization
Organization Name:HEALTHCARE EMPLOYER TN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:MAPLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-345-2809
Mailing Address - Street 1:PO BOX 3204
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38173-0204
Mailing Address - Country:US
Mailing Address - Phone:901-345-2809
Mailing Address - Fax:901-346-1423
Practice Address - Street 1:2874 SHELBY ST STE 208
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-4558
Practice Address - Country:US
Practice Address - Phone:901-345-2809
Practice Address - Fax:901-346-1423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-01
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNI000000013925251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health