FC of Tennessee Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0000000034 Issued in TN

Legal business name

FC OF TENNESSEE INC

Doing business as

Intrepid USA Healthcare Services

Practice address

393 Wallace Road
Suite 301
Nashville, TN 37211-4834

Phone

(615) 445-3007

Fax

(615) 445-3004

NPI assigned

Nov 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Paul D Foster

Title

Ceo

Phone

(214) 445-3750

Specialties & licenses 1

Addresses

Other names 1

• Intrepid USA Healthcare Services Doing business as

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1194708354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN",
            "address_2": "5TH FLOOR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445074",
            "telephone_number": "214-445-3750",
            "fax_number": "214-445-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 WALLACE ROAD",
            "address_2": "SUITE 301",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114834",
            "telephone_number": "615-445-3007",
            "fax_number": "615-445-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FC OF TENNESSEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-445-3750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intrepid USA Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Theresa Favulli, RN
• Mitzi M. Fawley, RN
• Jessica Fay
• Katie Winter Fay, LCSW
• Mohammad Fazili, MD
• FC TN, PLLC
• FCM-MTC Medical LLC
• Osaretin Della Fearce, MD
• Arielle Fears, CPM
• Chelsea Fechter, MD

• Home Health Agency in Nashville, TN
• Providers in Nashville, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.