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Department of Health
John J. Dreyzehner, MD, MPH, Commissioner
Health Care Facilities
Board for Licensing Health Care Facilities Applications for Licensure
Initital License Applications
Application for License for Adult Care Home
(PH-4124)
Application for License for Ambulatory Surgical Treatment Center
(PH-3507)
Application for License for Assisted-Care Living Facility
(PH-3501)
Application for Certification for Home for the Aged/ACLF Administrator
(PH-3203)
Application for License for Birthing Centers
(PH-3503)
Application for End Stage Renal Disease Facility
(PH-3710)
Application for License for HIV Supportive Living
PH-3665)
Application for License for Home for Aged
(PH-3504)
Application for License for Home Health Agency
(PH-3506)
Application for License for Home Medical Equipment Provider
(PH-3639)
Application for License for Hospice
(PH-3638)
Application for License for Hospital
(PH-3502)
Application for License for Nursing Home
(PH-0944)
Application for Outpatient Diagnostic Treatment Center License
(PH-3847)
Application for License for Prescribed Child Care Center
(PH-3905)
Application for Professional Support Services Provider License
(PH-3760)
Application for License for Residential Hospice
(PH-3508)
Change of Ownership (CHOW) License Applications
CHOW Application for Adult Care Home
(PH-4122)
CHOW Application for Ambulatory Surgical Treatment Center
(PH-3985)
CHOW Application for Assisted Care Living Facility
(PH-3977)
CHOW Application for Birthing Center
(PH-3982)
CHOW Application for End Stage Renal Disease Facility
(PH-3978)
CHOW Application for HIV Supportive Living Facility
(PH-3976)
CHOW Application for Home for Aged
(PH-3975)
CHOW Application for Home Health Agency
(PH-3979)
CHOW Application for Home Medical Equipment Provider
(PH-3981)
CHOW Application for Hospice
(PH-3974)
CHOW Application for Hospital
(PH-3980)
CHOW Application for Nursing Home
(PH-3986)
CHOW Application for Outpatient Diagnostic Center
(PH-3983)
CHOW Application for Prescribed Emergency Child Care Center
(PH-4052)
CHOW Application for Professional Support Services
(PH-3973)
CHOW Application for Residential Hospice
(PH-3984)
Renewal License Applications
Renewal Application for License for Adult Care Home
(PH-4123)
Renewal Application for License for Ambulatory Surgical Treatment Center
(PH-3997)
Renewal Application for License for Assisted Care Living Facility
(PH-3998)
Renewal Application for Certification for ACLF/RHA Administrator
(PH-4000)
Renewal Application for License for Birthing Centers
(PH-3996)
Renewal Application for License for End Stage Renal Disease Facility
(PH-3995)
Renewal Application for License for HIV Supportive Living Facility
(PH-3994)
Renewal Application for License for Home for Aged
(PH-4002)
Renewal Application for License for Home Health Agency
(PH-3993)
Renewal Application for License for Home Medical Equipment Provider
(PH-3992)
Renewal Application for License for Hospice
(PH-4004)
Renewal Application for License for Hospital
(PH-3999)
Renewal Application for License for Nursing Home
(PH-4001)
Renewal Application for License for Outpatient Diagnostic Treatment Center
(PH-3991)
Renewal Application for License for Prescribed Emergency Child Care Center
(PH-4051)
Renewal Application for License for Professional Support Services Provider
(PH-3988)
Renewal Application for License for Residential Hospice
(PH-4003)
Branch Office Applications
Application for Home Care Organization Branch Approval
(PH-3465)
Application for Home Care Organization Home Medical Equipment Branch Approval
(PH-3906)
Application for Home Care Organization Hospice Branch Approval
(PH-3916)
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Tennessee Department of Health
425 5th Avenue North
Cordell Hull Building, 3rd Floor
Nashville, Tennessee 37243
(615) 741-3111
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tn.health@tn.gov