Provider Demographics
NPI:1528721941
Name:901 CARE LLC
Entity type:Organization
Organization Name:901 CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JORDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-499-7238
Mailing Address - Street 1:465 MOUNT PLEASANT RD E
Mailing Address - Street 2:
Mailing Address - City:ROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38066-4081
Mailing Address - Country:US
Mailing Address - Phone:901-488-7238
Mailing Address - Fax:
Practice Address - Street 1:465 MOUNT PLEASANT RD E
Practice Address - Street 2:
Practice Address - City:ROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38066-4081
Practice Address - Country:US
Practice Address - Phone:901-488-7238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health