Provider Demographics
NPI:1073319257
Name:TERRYCARE SENIOR COMMUNITY SERVICES
Entity type:Organization
Organization Name:TERRYCARE SENIOR COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTHCARE ADMIN, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:BA HEALTHCARE ADMIN
Authorized Official - Phone:844-837-7948
Mailing Address - Street 1:175 CYPRESS RD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:TN
Mailing Address - Zip Code:38049-7807
Mailing Address - Country:US
Mailing Address - Phone:844-837-7948
Mailing Address - Fax:
Practice Address - Street 1:175 CYPRESS RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:TN
Practice Address - Zip Code:38049-7807
Practice Address - Country:US
Practice Address - Phone:844-837-7948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No332900000XSuppliersNon-Pharmacy Dispensing SiteGroup - Single Specialty
No332U00000XSuppliersHome Delivered Meals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Single Specialty
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities