Extendicare Home Health Of Western Tennessee

LBN: Lifeline Home Health Care Of Union City, Llc
Extendicare Home Health Of Western Tennessee is an health care organization with primary practice located at 1720 East Reelfoot Avenue Suite 203, Union City TN 38261-6049. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Lifeline Home Health Care Of Union City, Llc can be contacted via phone (731) 885-0866, or through Stelly, Donald D. via phone (337) 233-1307.

Contact Information

Primary practice address
1720 East Reelfoot Avenue Suite 203 Union City TN 38261-6049
Phone: (731) 885-0866
Fax: (731) 885-0327
Website:
Map and Directions
Authorized official contact:
Name: Stelly, Donald D.
Phone: (337) 233-1307

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 00000188 Tennessee

Profile Details

NPI number 1215036702
LBN Legal business name Lifeline Home Health Care Of Union City, Llc
DBA Doing business as Extendicare Home Health Of Western Tennessee
Authorized official Stelly, Donald D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 8th, 2013 - about 12 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 1215036702 NPPES
Tennessee MEDICAID 0447434

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