1184211161 NPI number — RENAL CARE OPTIONS HOME HEALTH SERVICES LLC

Table of content: (NPI 1184211161)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184211161 NPI number — RENAL CARE OPTIONS HOME HEALTH SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RENAL CARE OPTIONS HOME HEALTH SERVICES LLC
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:
Provider Other Organization Name Type Code:
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:
1184211161
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/16/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
512 AUTUMN SPRINGS CT STE D
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37067-2847
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-969-7391
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2724 WARM SPRINGS RD
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31904-5245
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-487-1664
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/24/2020

Additional Information

Authorized Official

Authorized Official Last Name:
LEPLEY
Authorized Official First Name:
BRENDA
Authorized Official Middle Name:
H
Authorized Official Title or Position:
VICE PRESIDENT AND SECRETARY
Authorized Official Telephone Number:
615-969-7391

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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