Staffco of Eastern Tennessee, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

L000000005138 Issued in TN

Legal business name

STAFFCO OF EASTERN TENNESSEE, LLC.

Doing business as

At Home Healthcare of East Tennessee

Practice address

2654 Peerless Rd NW
Cleveland, TN 37312-3732

Phone

(423) 473-9922

Fax

(423) 473-9924

NPI assigned

Dec 1, 2009

Last updated

Dec 1, 2009By 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

Mr. Jason Nipps, B.S.

Title

Managing Member

Phone

(423) 473-9922

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• At Home Healthcare of East Tennessee Doing business as

Tax ID family

At Home Health Care of Central TN2 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.

• Staffco of Eastern TN. Inc

  dba At Home Health Care of Central Tn.

  • In Home Supportive Care Agency
  • Manchester, TN
  • NPI 1275846404
  NPD tax ID

Locations

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1447588579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 PEERLESS RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123732",
            "telephone_number": "423-473-9922",
            "fax_number": "423-473-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 PEERLESS RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123732",
            "telephone_number": "423-473-9922",
            "fax_number": "423-473-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFCO OF EASTERN TENNESSEE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "NIPPS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "423-473-9922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "L000000005138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445298",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES",
            "identifier": "000000005138",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Healthcare of East Tennessee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Logan Spinks, APN
• Brett Spradlin, D.C.
• Bailey Spradling, LMFT
• Dedra Spradling, M.A.
• Lee Ann Stabler, CNM
• John S Stanbery, DDS
• Sarah Chayil Stath
• Stephan M Becker MD
• Stephen V. Dreskin MD PC (TN Valley Pain Management)
• Victoria Stepp, DNP, APRN, FNP-C

• Home Health Agency in Cleveland, TN
• Providers in Cleveland, 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 Dec 1, 2009; 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.