Provider Demographics
NPI:1720354616
Name:MDE VENTURES, INC.
Entity Type:Organization
Organization Name:MDE VENTURES, INC.
Other - Org Name:CARING SENIOR SERVICE OF NASHVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EASTHAM
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:615-724-1488
Mailing Address - Street 1:9415 RAVEN HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8604
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1451 ELM HILL PIKE STE 100
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-4528
Practice Address - Country:US
Practice Address - Phone:615-724-1488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care