Provider Demographics
NPI:1912162694
Name:HLR HEALTHCARE MANAGEMENT RESOURCES, LLC
Entity Type:Organization
Organization Name:HLR HEALTHCARE MANAGEMENT RESOURCES, LLC
Other - Org Name:HLR QUICK CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLTON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-757-0079
Mailing Address - Street 1:8150 E BRAINERD RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4301
Mailing Address - Country:US
Mailing Address - Phone:423-757-0079
Mailing Address - Fax:423-499-5646
Practice Address - Street 1:8150 E BRAINERD RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-4301
Practice Address - Country:US
Practice Address - Phone:423-624-3555
Practice Address - Fax:423-499-5646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN=========OtherEIN