Foreman Drive Home Training

LBN: Isd Renal Inc
Foreman Drive Home Training is an health care organization with primary practice located at 1843 Foreman Dr Ste 201 , Cookeville TN 38501-5933. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Isd Renal Inc can be contacted via phone (931) 372-2706, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1843 Foreman Dr Ste 201 Cookeville TN 38501-5933
Phone: (931) 372-2706
Fax: (931) 372-8421
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1003390469
LBN Legal business name Isd Renal Inc
DBA Doing business as Foreman Drive Home Training
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2018
Last updated Jun 17th, 2024 - about last year

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 1003390469 NPPES
Tennessee MEDICAID Q052745

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