Organization Active NPI

Alzheimer'S Tennessee Inc.

  • Community/Behavioral Health Agency
  • Knoxville, TN
National Provider Identifier
1104137553
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4723744A Issued in TN
Legal business name
ALZHEIMER'S TENNESSEE INC.
Practice address
5801 Kingston Pike
Knoxville, TN 37919-6340
Phone
(865) 544-6288
Fax
(865) 544-6249
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Linda Johnson
Title
Director of Programs
Phone
(865) 544-6288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4723744A TN Primary

Addresses

Primary practice location

5801 Kingston Pike
Knoxville, TN 37919-6340

Mailing address

5801 Kingston Pike
Knoxville, TN 37919-6340
Phone (865) 544-6288

Other identifiers 1

IdentifierTypeStateIssuer
H445178MedicaidTN

Other names 1

  • Howard Circle of Friends Adult Day Program Other name

National Provider Directory

National Provider Directory

Locations

5801 Kingston Pike
Knoxville, TN 37919
Phone (865) 544-6288

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1104137553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196340",
            "telephone_number": "865-544-6288",
            "fax_number": "865-544-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196340",
            "telephone_number": "865-544-6288",
            "fax_number": "865-544-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALZHEIMER'S TENNESSEE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "865-544-6288"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "4723744A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445178",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard Circle of Friends Adult Day Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.