Provider Demographics
NPI:1174520407
Name:WILLOWBROOK HEALTH & HOME SERVICES, INC.
Entity type:Organization
Organization Name:WILLOWBROOK HEALTH & HOME SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE & REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARGIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-366-3214
Mailing Address - Street 1:1451 ELM HILL PIKE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-5512
Mailing Address - Country:US
Mailing Address - Phone:615-366-6060
Mailing Address - Fax:615-366-3331
Practice Address - Street 1:1451 ELM HILL PIKE
Practice Address - Street 2:SUITE 201
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-4560
Practice Address - Country:US
Practice Address - Phone:615-361-1951
Practice Address - Fax:615-361-8173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPSS0000000115261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty