# AVE MARIA REGINA HEALTH SYSTEMS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ave Maria Regina Home Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881028298
- **Authorized official:** IFEYINWA AGHOLOR (PROJECT MANAGER / PRESIDENT)
- **Authorized official phone:** (615) 530-8111

## Contact information

- **Practice address:** 4008 PEPPERWOOD DR, ANTIOCH, TN 37013-1667
- **Practice address phone:** (615) 530-8111
- **Practice address fax:** (615) 280-2538
- **Mailing address:** 4008 PEPPERWOOD DR, ANTIOCH, TN 37013-1667
- **Mailing address phone:** (615) 530-8111
- **Mailing address fax:** (615) 280-2538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | 1000000012695 | TN | — |
| 251E00000X | Home Health Agency | 1000000012695 | TN | Yes |
| 253Z00000X | In Home Supportive Care Agency | 1000000012695 | TN | — |
| 343900000X | Non-emergency Medical Transport (VAN) | 1000000012695 | TN | — |

## Other

- **Enumeration date:** 08/22/2013
- **Last updated:** 04/21/2014