| At Home Assistance, Llc | |
|
6236 Stage Rd Bartlett TN 38134-3726 | |
| (901) 870-6978 | |
| (901) 552-4411 |
| Full Name | At Home Assistance, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6236 Stage Rd, Bartlett, Tennessee |
| Authorized Official Name and Position | Tanci Burrow (OWNER) |
| Authorized Official Contact | 9018706978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| At Home Assistance, Llc 6236 Stage Rd Bartlett TN 38134-3726 Ph: (901) 870-6978 | At Home Assistance, Llc 6236 Stage Rd Bartlett TN 38134-3726 Ph: (901) 870-6978 |
| NPI Number | 1225525181 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Medicare PECOS PAC ID | 1153668298 |
|---|---|
| Medicare Enrollment ID | O20190128000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225525181 | NPI | - | NPPES |
| Provider Name | Tanci Burrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851482921 PECOS PAC ID: 4486722618 Enrollment ID: I20081001000319 |
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