Organization · Type 2 NPI

State of Tennessee

Home Health Agency · Greeneville, TN

NPI number 1285905976 Active

Practice location

2105 Susong Rd
Greeneville, TN 37743-4944

Call (423) 787-0659 Map

Mailing address

315 Deaderick St Fl 8
Nashville, TN 37238-3000

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed
Intellectual Disabilities Intermediate Care Facility	315P00000X	I000000010131 (TN)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1285905976
Entity type: Organization (Type 2)
Issued: Jan 26, 2012
Last updated: Jul 5, 2023
Status: Active

Other names

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Department of Intellectual and Developmental Disabilities · doing business as

Authorized official

David Comm
Director of Business Services
(629) 267-8103

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285905976

State of Tennessee's National Provider Identifier is 1285905976, issued on Jan 26, 2012. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Greeneville, TN. The record was last updated on Jul 5, 2023.