Provider Demographics
NPI:1457926529
Name:RED TULIP HOME HEALTH AGENCY, LLC.
Entity Type:Organization
Organization Name:RED TULIP HOME HEALTH AGENCY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-625-0244
Mailing Address - Street 1:1896 RIVERSIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38109-2156
Mailing Address - Country:US
Mailing Address - Phone:901-625-0244
Mailing Address - Fax:
Practice Address - Street 1:1896 RIVERSIDE BLVD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38109-2156
Practice Address - Country:US
Practice Address - Phone:901-625-0244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health