Provider Demographics
NPI:1902154966
Name:ENGAGING SENIOR CARE, LLC
Entity Type:Organization
Organization Name:ENGAGING SENIOR CARE, LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FRANCHISE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:CANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-842-7540
Mailing Address - Street 1:1034 SEARCY WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-7164
Mailing Address - Country:US
Mailing Address - Phone:270-842-7540
Mailing Address - Fax:
Practice Address - Street 1:1276 LEWISBURG PIKE
Practice Address - Street 2:SUITE C
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-5064
Practice Address - Country:US
Practice Address - Phone:615-591-4663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-23
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care