OrganizationActive
Advance Choice Home Care Incorporation LLC
NPI 1639044902 · In Home Supportive Care Agency · Jackson, TN
Provider details
- NPI number
- 1639044902
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Rena Payne, Administrative Manager(731) 694-8058
Specialties & taxonomies
Agencies
- Nursing Care Agency251J00000X
Agencies
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
- Respite Care385H00000X
Respite Care Facility
Respite Care Facility
Practice location
25 Max Lane Dr Ste 3
Jackson, TN 38305-2835
Phone: (731) 694-8058
Fax: (731) 694-8058
Approximate (ZIP-level) locationGet directions
Mailing address
25 Max Lane Dr Ste 3
Jackson, TN 38305-2835
Registry dates
- Enumerated
- 2025-10-07
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.