Provider Demographics
NPI:1295517571
Name:COMFORT CARE PROVIDERS OF MIDDLE TENNESSEE LLC
Entity type:Organization
Organization Name:COMFORT CARE PROVIDERS OF MIDDLE TENNESSEE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANIEKAN
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:ETIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-982-7117
Mailing Address - Street 1:5039 TIMBER TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-6344
Mailing Address - Country:US
Mailing Address - Phone:615-474-3776
Mailing Address - Fax:
Practice Address - Street 1:1161 MURFREESBORO PIKE STE 420
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2226
Practice Address - Country:US
Practice Address - Phone:615-982-7117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health