Active NPI
Foothills Adult Care Enrichment Services
- Developmentally Disabled Services Day Training Agency
- Maryville, TN
National Provider Identifier
1275907222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 00D6T
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.