Marico Andrews
Individual provider Active NPI In Home Supportive Care Agency · Bartlett, TN
NPI 1891197877 · NPPES record last updated Sep 21, 2014
Key facts
- NPI
- 1891197877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- I000000015247 (TN)
- Practice address
- 6061 Maher TRL
Bartlett, TN 38135-9267 - Phone
- (901) 338-7572
- Fax
- (901) 339-4049
- NPI assigned
- Sep 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I000000015247 | TN | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Menima LLC | In Home Supportive Care | Current | Accepting new patients |
| West Shelby LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | I000000015247 | TN | Yes |
Addresses
Primary practice location
6061 Maher TRL
Bartlett, TN 38135-9267
Mailing address
6061 Maher TRL
Bartlett, TN 38135-9267
Phone (901) 338-7572
Other providers in Bartlett, TN
- Cynthia Amos-Young
- Amway
- An Extra Pair of Hands
- Andersen Chiropractic of Bartlett, LLC
- Jeffrey Andersen
- Angel Care
- Angels Around the Clock Homecare
- Annapoorna Ayyagari, LLC
- Patricia Ar Arangie
- Arlington Hospitalist Associates PLLC
All providers in Bartlett, TN · In Home Supportive Care Agency in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.