Caris Healthcare
Organization Active NPI Community Based Hospice Care Agency · Tullahoma, TN
NPI 1043979933 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1043979933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- CARIS HEALTHCARE
- Practice address
- 106 Westside Dr Ste B
Tullahoma, TN 37388-3281 - Phone
- (615) 366-9952
- NPI assigned
- Dec 8, 2021
- Organization subpart
- No
Authorized official
- Name
- Paul Saylor
- Title
- President
- Phone
- (866) 694-4848
Owners & managing parties with NPI records 23
-
Robert L Forti, M.D.
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 16
Affiliated clinicians 8
-
Dana R Bannerman, MD
-
Robert L Forti, M.D.
-
Muhammad Mirza, MBBS
-
Julie A Perrigin, MD
-
John R Salyer, MD
-
Steven C Smith, MD
Medicare Care Compare: Hospice
- Listed as
- Caris Healthcare
- Ownership
- For-Profit
- Certified
- Jun 1, 2004
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2280608 | Caris Healthcare | Certificate of waiver | Apr 20, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Hospice certification: CCN 441586
- Legal name
- CARIS HEALTHCARE
- Doing business as
- CARIS HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 1, 2004
- Last certification
- Nov 3, 2021
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- Partnership · Proprietary
- Incorporated
- Aug 7, 2003 in TN
- Enrollment address
- 2525 Perimeter Place Dr
Ste 129
Nashville, TN 37214-3691
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Robert L Forti |
Contracted Managing Employee |
Jan 1, 2024 | |
| National Health Corporation |
5% Or Greater Indirect Ownership Interest | Jun 11, 2021 | 6.6% |
| Paul W Saylor |
Corporate Officer |
Jun 11, 2021 | |
| Operational/Managerial Control |
Jun 11, 2021 | ||
| Sunday L Watson |
W-2 Managing Employee |
Jun 18, 2025 | |
| Michelle D King |
W-2 Managing Employee |
Sep 30, 2024 | |
| Alicia G Anglin |
W-2 Managing Employee |
Jan 14, 2013 | |
| NHC-Op LP |
5% Or Greater Direct Ownership Interest | Jun 11, 2021 | 99% |
| General Partnership Interest | Dec 26, 2024 | ||
| National Healthcare Corporation |
5% Or Greater Indirect Ownership Interest | Jun 11, 2021 | 98% |
| Kent Alan Willette |
W-2 Managing Employee | Jan 2, 2023 | |
| Hunter Keaton |
W-2 Managing Employee |
May 1, 2023 | |
| National Hospice Inc |
General Partnership Interest | Jun 11, 2021 | 1% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040302000499 | TN | Part a Provider - Hospice | 3577466531 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbia, TN; Dickson, TN; Lawrenceburg, TN; Nashville, TN; Tullahoma, TN |
National Provider Directory
- Tax ID family
- Caris Healthcare
Interoperability endpoints
- https://api.platform.athenahealth.com/25947/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
106 Westside Dr Ste B
Tullahoma, TN 37388-3281
Mailing address
10651 Coward Mill Rd
Knoxville, TN 37931-3006
Phone (866) 694-4848
Other names
- Caris HealthCare, Tullahoma
Other providers in Tullahoma, TN
- Canonico Ear, Nose and Throat, P.C.
- Domenic Michael Canonico
- Herbert Cantrell
- Cardiology & Vascular Associates
- Cardiology Group, PC
- Jessica Carpenter
- Mark Allen Carrick
- Phillip Sean Carroll
- Kristina Danette Carter
- Cataract Care, PLLC
All providers in Tullahoma, TN · Community Based Hospice Care Agency in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.