Provider Demographics
NPI:1871576298
Name:HOME HEALTH CARE OF MIDDLE TENNESSEE, LLC
Entity type:Organization
Organization Name:HOME HEALTH CARE OF MIDDLE TENNESSEE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:615-361-4859
Mailing Address - Street 1:2 INTERNATIONAL PLAZA
Mailing Address - Street 2:SUITE 901
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217
Mailing Address - Country:US
Mailing Address - Phone:615-361-4859
Mailing Address - Fax:615-361-5187
Practice Address - Street 1:2 INTERNATIONAL PLAZA
Practice Address - Street 2:SUITE 901
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217
Practice Address - Country:US
Practice Address - Phone:615-361-4859
Practice Address - Fax:615-361-5187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-21
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4011623OtherBCBS
TN16743OtherBIS
TN84146OtherCHAMP-VA
TN4011623OtherTENNCARE PROVIDER #
TN16743OtherBIS
TN84146OtherCHAMP-VA
TN4011623OtherBCBS