Organization
ADVANCE CHOICE HOME CARE INCORPORATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENA PAYNE RN (ADMINISTRATIVE MANAGER)
(731) 694-8058
Entity
Organization
Contact information
Practice address
25 MAX LANE DR STE 3, JACKSON, TN 38305-2835
(731) 694-8058
(731) 694-8058
Mailing address
25 MAX LANE DR STE 3, JACKSON, TN 38305-2835
(731) 694-8058
(731) 694-8058
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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