Tennova Hospice - Clarksville

LBN: Clarksville Home Care Services Llc
Tennova Hospice - Clarksville is an health care organization with primary practice located at 647 Dunlop Ln Ste 117 , Clarksville TN 37040-5165. The organization recently has 2 registered licenses in different health care specialties including Agencies / Hospice Care, Community Based, Nursing & Custodial Care Facilities / Hospice, Inpatient. Agencies / Hospice Care, Community Based is the primary health care specialty. Clarksville Home Care Services Llc can be contacted via phone (931) 552-9551, or through Proffitt, Joshua L. via phone (337) 233-1307.

Contact Information

Primary practice address
647 Dunlop Ln Ste 117 Clarksville TN 37040-5165
Phone: (931) 552-9551
Fax: (831) 647-8111
Website:
Map and Directions
Authorized official contact:
Name: Proffitt, Joshua L.
Phone: (337) 233-1307

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 0000000360 Tennessee
Nursing & Custodial Care Facilities / Hospice, Inpatient 315D00000X 0000000360 Tennessee

Profile Details

NPI number 1033164298
LBN Legal business name Clarksville Home Care Services Llc
DBA Doing business as Tennova Hospice - Clarksville
Authorized official Proffitt, Joshua L.
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Jul 29th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033164298 NPPES
Tennessee MEDICAID Q037224

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