# JACKSON HOME CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tennova Home Care - Jackson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477598134
- **Authorized official:** PATRICK TODD LYLES (SR VICE PRESIDENT)
- **Authorized official phone:** (502) 891-1044

## Contact information

- **Practice address:** 37 SANDSTONE CIR, STE 201, JACKSON, TN 38305-2073
- **Practice address phone:** (731) 736-3700
- **Practice address fax:** (731) 736-3704
- **Mailing address:** 9510 ORMSBY STATION RD, STE 300, LOUISVILLE, KY 40223-4081
- **Mailing address phone:** (502) 891-1187
- **Mailing address fax:** (502) 891-8067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0000000178 | TN | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 01/09/2017