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AVE MARIA REGINA HEALTH SYSTEMS NPI 1881028298


NPI Information

NPI: 1881028298
Provider Name: AVE MARIA REGINA HEALTH SYSTEMS

Former Legal Business Name: AVE MARIA REGINA HOME HEALTH SERVICES

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
4008 PEPPERWOOD DR
ANTIOCH, TN
ZIP 37013
Phone: (615) 530-8111
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AVE MARIA REGINA HEALTH SYSTEMS is a home health in Antioch, TN. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. AVE MARIA REGINA HEALTH SYSTEMS NPI is 1881028298. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Ave Maria Regina Home Health Services.

The provider's business location address is:

4008 PEPPERWOOD DR
ANTIOCH, TN
ZIP 37013-667
Phone: (615) 530-8111
Fax: (615) 280-2538

The provider's authorized official is Ifeyinwa Agholor .
The authorized official title is Project Manager / President and has the following contact phone number (615) 530-8111.

The enumeration date for this NPI number is 8/22/2013 and was last updated on 4/21/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)1000000012695TENNESSEENo
2253Z00000XIn Home Supportive Care1000000012695TENNESSEENo
3251C00000XDay Training, Developmentally Disabled Services1000000012695TENNESSEENo
4251E00000XHome Health1000000012695TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H445771MEDICAIDTENNESSEE
2T000431MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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