- Enrollment id
- O20090326000622
- Enrollment state
- TN
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1407807688
- Multiple npi flag
- N
- Ccn
- 441545
- Associate id
- 5496812331
- Organization name
- TNMO HEALTHCARE, LLC
- Doing business as name
- GENTIVA
- Incorporation date
- 2008-11-12
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 7135 CHARLOTTE PIKE
- Address line 2
- STE 200
- City
- NASHVILLE
- State
- TN
- Zip code
- 372095017