Provider Demographics
NPI:1114801636
Name:HENDRIX SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:HENDRIX SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HAILEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRIX
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:615-684-7159
Mailing Address - Street 1:4217 MAXIMILLION CIR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-4268
Mailing Address - Country:US
Mailing Address - Phone:615-684-7159
Mailing Address - Fax:
Practice Address - Street 1:4217 MAXIMILLION CIR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4268
Practice Address - Country:US
Practice Address - Phone:615-684-7159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No385H00000XRespite Care FacilityRespite Care