IndividualActive
Angela Johnson, PHLEB/VENI,HOMEHEALT
NPI 1194336628 · Home Health Agency · Jackson, TN
Provider details
- NPI number
- 1194336628
- Entity type
- Individual
- Primary specialty
- Home Health AgencyAgencies
- Credential
- PHLEB/VENI,HOMEHEALT
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
- Religious Nonmedical Practitioner374K00000X
Nursing Service Related Providers
- Rehabilitation Practitioner225400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Home Infusion Agency251F00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
- Nutritionist133N00000X
Dietary & Nutritional Service Providers
Practice location
24 Revere Cir Apt 13
Jackson, TN 38305-3468
Phone: (731) 513-0975
Approximate (ZIP-level) locationGet directions
Mailing address
24 Revere Cir Apt 13
Jackson, TN 38305-3468
Registry dates
- Enumerated
- 2020-08-10
- Last updated
- 2020-08-10
- Certified
- 2020-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.