Continucare Healthservices, Inc. - Waiver

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0000000098 Issued in TN

Legal business name

CONTINUCARE HEALTHSERVICES, INC. - WAIVER

Practice address

1501 Riverside Drive
Suite 350
Chattanooga, TN 37406

Phone

(423) 624-8281

Fax

(423) 624-0133

NPI assigned

Oct 3, 2006

Last updated

Jun 24, 2013By 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

Ms. Donna L. Bourdon

Title

President

Phone

(423) 386-1000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ContinuCare HealthServices, Inc. - DMRS Waiver Other name

Tax ID family

Continucare Healthservices Inc - DMRS Waiver2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Continucare Healthservices, Inc. - HME East

  • Home Infusion Therapy Pharmacy
  • Chattanooga, TN
  • NPI 1528154259
  NPD tax ID

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1235224650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 RIVERSIDE DRIVE",
            "address_2": "SUITE 350",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37406",
            "telephone_number": "423-624-8281",
            "fax_number": "423-624-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 RIVERSIDE DRIVE",
            "address_2": "SUITE 350",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37406",
            "telephone_number": "423-624-8281",
            "fax_number": "423-624-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUCARE HEALTHSERVICES, INC. - WAIVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "BOURDON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-386-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMRS WAIVER",
            "identifier": "004444",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447471",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ContinuCare HealthServices, Inc. - DMRS Waiver",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Consultants in Pain Management, PC
• Continucare Healthservices, Inc. - HME East
• Continuum Health Aic Inc
• Continuumrx of Southeast Tennessee, LLC
• Continuumrx, Inc. (ContinuumRx of Southeast Tennessee, LLC)
• Renish Nital Contractor
• Sara Conway

• Home Health Agency in Chattanooga, TN
• Providers in Chattanooga, 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 Jun 24, 2013; 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.