Elcm Oak Ridge Leasing LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

ACL0000000346 Issued in TN

Legal business name

ELCM OAK RIDGE LEASING LLC

Practice address

300 Briarcliff Ave
Oak Ridge, TN 37830-8731

Phone

(865) 481-6009

NPI assigned

Aug 26, 2016

Last updated

Aug 26, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Boethel

Title

Principal

Phone

(214) 535-6071

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1033665492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 DALLAS PKWY",
            "address_2": "SUITE 650, BUILDING 3",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542936",
            "telephone_number": "973-219-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRIARCLIFF AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308731",
            "telephone_number": "865-481-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELCM OAK RIDGE LEASING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "BOETHEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "214-535-6071"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TN",
            "license": "ACL0000000346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Bruce Eatherly, M.D.
• Jeri B Echols, LPN
• Eckert Chiropractic Center
• Clark Raymond Eckert, D.C.
• Janet Edwards, AU.D.
• Elcm Oak Ridge Management LLC
• Elite Pain Consultants, PLLC
• Jessica Ellam, NP
• Alicia Ellis, NP
• Seta Lamallari Ellis, DO

• Adult Care Home Facility in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Adult Care Home Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.