Provider Demographics
NPI:1700130283
Name:TANNER'S ANGELS, LLC
Entity Type:Organization
Organization Name:TANNER'S ANGELS, LLC
Other - Org Name:VISITING ANGELS OF SPRING HILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:GEARY
Authorized Official - Last Name:TANNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-767-3992
Mailing Address - Street 1:3011 HARRAH DR
Mailing Address - Street 2:SUITE R
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-6252
Mailing Address - Country:US
Mailing Address - Phone:615-953-9494
Mailing Address - Fax:615-953-9494
Practice Address - Street 1:3011 HARRAH DR
Practice Address - Street 2:SUITE R
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-6252
Practice Address - Country:US
Practice Address - Phone:615-953-9494
Practice Address - Fax:615-953-9494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10853385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care