- Enrollment id
- O20050120000176
- Enrollment state
- TN
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1396702536
- Multiple npi flag
- N
- Ccn
- 447402
- Associate id
- 3072562750
- Organization name
- TENNESSEE VALLEY HOME CARE, LLC
- Doing business as name
- TENNESSEE QUALITY CARE- HOME HEALTH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 580 TENNESSEE AVE N
- City
- PARSONS
- State
- TN
- Zip code
- 383632624