Kingsport Adult Day Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

KINGSPORT ADULT DAY CARE

Practice address

4260 Fort Henry Dr Ste 18
Kingsport, TN 37663-2248

Phone

(423) 406-1200

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Michelle Renee BollingNPI 1003646449

Title

Owner

Phone

(423) 782-6160

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Renee Bolling

  • Adult Day Care Clinic/Center
  • Kingsport, TN
  • NPI 1003646449
  NPD Authorized official

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1174355093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 FORT HENRY DR STE 18",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632248",
            "telephone_number": "423-406-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 FORT HENRY DR STE 18",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632248",
            "telephone_number": "423-406-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSPORT ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "BOLLING",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-782-6160"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Steven Kindle, DPT
• Matthew Bronson King
• Stacey Sheree King, PT
• Thomas P King, DDS MS
• Wanda King
• Kingsport Ambulatory Surgery Ctr
• Kingsport Anesthesia Associates LLC
• Kingsport Brace and Limb, Inc.
• Kingsport Bronchoscopy Center, Inc.
• Kingsport City Schools

• Adult Day Care Clinic/Center in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Adult Day Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.