Organization
AVE MARIA REGINA HEALTH SYSTEMS
Active
Other names
Ave Maria Regina Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
IFEYINWA AGHOLOR (PROJECT MANAGER / PRESIDENT)
(615) 530-8111
Entity
Organization
Contact information
Practice address
4008 PEPPERWOOD DR, ANTIOCH, TN 37013-1667
(615) 530-8111
(615) 280-2538
Mailing address
4008 PEPPERWOOD DR, ANTIOCH, TN 37013-1667
(615) 530-8111
(615) 280-2538
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
1000000012695
TN
251E00000X
Home Health Agency
Primary
1000000012695
TN
253Z00000X
In Home Supportive Care Agency
1000000012695
TN
343900000X
Non-emergency Medical Transport (VAN)
1000000012695
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445771
—
TN
05
—
T000431
—
TN
Enumeration date
08/22/2013
Last updated
04/21/2014
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