# MGA HOME HEALTHCARE TENNESSEE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MGA Homecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053187203
- **Authorized official:** ALEXANDRA LEE KOLOSKUS JD (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (720) 276-7706

## Contact information

- **Practice address:** 3310 WEST END AVE, STE 500, NASHVILLE, TN 37203-1087
- **Practice address phone:** (901) 335-9832
- **Mailing address:** 3310 WEST END AVE, STE 500, NASHVILLE, TN 37203-1087
- **Mailing address phone:** (901) 335-9832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2023
- **Last updated:** 11/29/2023