State of Tennessee
Organization Active NPI Home Health Agency · Greeneville, TN
NPI 1285905976 · NPPES record last updated Jul 5, 2023
Key facts
- NPI
- 1285905976
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- STATE OF TENNESSEE
- Practice address
- 2105 Susong Rd
Greeneville, TN 37743-4944 - Phone
- (423) 787-0659
- NPI assigned
- Jan 26, 2012
- Organization subpart
- No
Authorized official
- Name
- David Comm
- Title
- Director of Business Services
- Phone
- (629) 267-8103
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Trousdale County Health
Locations
2105 Susong Rd
Greeneville, TN 37743
Phone (423) 787-0659
190 Serral Dr
Greeneville, TN 37745
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | I000000010131 | TN |
Addresses
Primary practice location
2105 Susong Rd
Greeneville, TN 37743-4944
Mailing address
315 Deaderick St FL 8
Nashville, TN 37238-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7447172 | Medicaid | TN |
Other names
- Department of Intellectual and Developmental Disabilities
Other providers in Greeneville, TN
- Pamela Nmi Stanton-Shelton
- Carla Ann Starnes
- Mattison Rogers Starnes
- State of Tennessee
- State of Tennessee
- State of Tennessee
- State of Tennessee
- State of Tennessee
- State of Tennessee
- State of Tennessee
All providers in Greeneville, TN · Home Health Agency in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.