Provider Demographics
NPI:1174029805
Name:SENIOR LIVING IN HOME CARE, LLC
Entity type:Organization
Organization Name:SENIOR LIVING IN HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:HAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-696-4884
Mailing Address - Street 1:725 COOL SPRINGS BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2702
Mailing Address - Country:US
Mailing Address - Phone:615-696-4884
Mailing Address - Fax:866-629-9257
Practice Address - Street 1:725 COOL SPRINGS BLVD STE 600
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2702
Practice Address - Country:US
Practice Address - Phone:615-696-4884
Practice Address - Fax:866-629-9257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-02
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21852253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care