1508318825 NPI number — WE CARE TOO HOME CARE SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508318825 NPI number — WE CARE TOO HOME CARE SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WE CARE TOO HOME CARE SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WE CARE TOO HEALTH AND HOMECARE SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508318825
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/23/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
607 W DUE WEST AVE STE 97
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MADISON
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37115-4420
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-873-4033
Provider Business Mailing Address Fax Number:
615-334-8472

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
607 W DUE WEST AVE STE 97
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37115-4420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-873-4033
Provider Business Practice Location Address Fax Number:
615-334-8472
Provider Enumeration Date:
11/03/2016

Additional Information

Authorized Official

Authorized Official Last Name:
CUTLER
Authorized Official First Name:
YOVONDYA
Authorized Official Middle Name:
Authorized Official Title or Position:
/ADMINISTRATORNURSE PRACTITIONER
Authorized Official Telephone Number:
615-873-4033

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: Q022885 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




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