Provider Demographics
NPI:1336607563
Name:DAYA HOME CARE LLC
Entity Type:Organization
Organization Name:DAYA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LARHONDA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-924-3597
Mailing Address - Street 1:523 CEDAR PARK CIR
Mailing Address - Street 2:
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-4235
Mailing Address - Country:US
Mailing Address - Phone:615-924-3597
Mailing Address - Fax:
Practice Address - Street 1:523 CEDAR PARK CIR
Practice Address - Street 2:
Practice Address - City:LA VERGNE
Practice Address - State:TN
Practice Address - Zip Code:37086-4235
Practice Address - Country:US
Practice Address - Phone:615-924-3597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty