Provider Demographics
NPI:1710770367
Name:HEAL AT HOME MOMS, LLC
Entity type:Organization
Organization Name:HEAL AT HOME MOMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENA
Authorized Official - Middle Name:FLORENCE
Authorized Official - Last Name:BEISE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:615-478-7650
Mailing Address - Street 1:21 S CREST RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-4006
Mailing Address - Country:US
Mailing Address - Phone:615-478-7650
Mailing Address - Fax:423-406-6638
Practice Address - Street 1:6148 LEE HWY STE 103
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2994
Practice Address - Country:US
Practice Address - Phone:615-478-7650
Practice Address - Fax:423-406-6638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty