Organization Active NPI

Foothills Adult Care Enrichment Services

  • Developmentally Disabled Services Day Training Agency
  • Maryville, TN
National Provider Identifier
1275907222
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
00D6T Issued in TN
Legal business name
FOOTHILLS ADULT CARE ENRICHMENT SERVICES
Practice address
1732 W Broadway Ave
Maryville, TN 37801-5510
Phone
(865) 980-8023
NPI assigned
Nov 13, 2015
Last updated
Nov 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Mrs. Aundrea Marie Scholem, LPN
Title
Owner/ Directors
Phone
(865) 980-8023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 00D6T TN Primary

Addresses

Primary practice location

1732 W Broadway Ave
Maryville, TN 37801-5510

Mailing address

1732 W Broadway Ave
Maryville, TN 37801-5510
Phone (865) 980-8023

Other names 1

  • Adult Life Centers and Independence Services Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1275907222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 W BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378015510",
            "telephone_number": "865-980-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 W BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378015510",
            "telephone_number": "865-980-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS ADULT CARE ENRICHMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "SCHOLEM",
        "authorized_official_first_name": "AUNDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ DIRECTORS",
        "authorized_official_telephone_number": "865-980-8023",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "00D6T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Life Centers and Independence Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.