Organization Active NPI

Home Care Medical Management

  • Case Management Agency
  • Elizabethton, TN
National Provider Identifier
1508007048
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
H445144 Issued in TN
Legal business name
HOME CARE MEDICAL MANAGEMENT
Practice address
609 Regency LN
Elizabethton, TN 37643-3062
Phone
(423) 543-5652
Fax
(423) 543-5651
NPI assigned
Mar 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Sharon Merryman, RNNPI 1023204138
Title
Owner
Phone
(423) 543-5652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X H445144 TN Primary

Addresses

Primary practice location

609 Regency LN
Elizabethton, TN 37643-3062

Mailing address

609 Regency LN
Elizabethton, TN 37643-3062
Phone (423) 543-5652

Other identifiers 1

IdentifierTypeStateIssuer
H445144MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1508007048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 REGENCY LN",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433062",
            "telephone_number": "423-543-5652",
            "fax_number": "423-543-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 REGENCY LN",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433062",
            "telephone_number": "423-543-5652",
            "fax_number": "423-543-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "MERRYMAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-543-5652",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TN",
            "license": "H445144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445144",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.