Organization · NPI-2

Maple Leaf Home Care LLC

In Home Supportive Care · Gallatin, TN

NPI number1962295675

StatusActive

Last updated in NPPESJul 24, 2025

Details

NPI: 1962295675
Entity type: Organization (NPI-2)
Legal business name: Maple Leaf Home Care LLC
Organization subpart: No
Enumeration date: May 26, 2025
Certification date: Jul 24, 2025
Last updated: Jul 24, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
253Z00000X	In Home Supportive Care	–	–	Yes
374U00000X	Home Health Aide	–	–
385H00000X	Respite Care	–	–
251E00000X	Home Health	–	–
251C00000X	Day Training, Developmentally Disabled Services	–	–

Practice location

620 Hartsville Pike
Gallatin, TN 37066-2523

Phone 615-470-5258 · Fax 615-470-5281

Mailing address

620 Hartsville Pike
Gallatin, TN 37066-2523

Authorized official

Victoria Poku
Director
6154705258

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.