Provider Demographics
NPI:1447541669
Name:TENNESSEE HOMECARE ALLIANCE LLC
Entity type:Organization
Organization Name:TENNESSEE HOMECARE ALLIANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:VANDERPOOL
Authorized Official - Last Name:HILLEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-680-9648
Mailing Address - Street 1:101 NORTHSIDE CIR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37160-2375
Mailing Address - Country:US
Mailing Address - Phone:931-680-9648
Mailing Address - Fax:931-246-7517
Practice Address - Street 1:101 NORTHSIDE CIR
Practice Address - Street 2:SUITE B
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-2375
Practice Address - Country:US
Practice Address - Phone:931-680-9648
Practice Address - Fax:931-246-7517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPPLIED FOR IN TN332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies