Community Health of East Tennessee, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

I000000009684 Issued in TN

Legal business name

COMMUNITY HEALTH OF EAST TENNESSEE, INC

Practice address

470 Stone Mill Rd
Jacksboro, TN 37757-4007

Phone

(423) 562-1156

Fax

(423) 566-5106

NPI assigned

Nov 10, 2011

Last updated

Aug 27, 2020By 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

Teresa Dabney

Title

Ceo

Phone

(423) 562-1705

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Developmental Center Other name

Electronic endpoints 1

Tax ID family

Chet Behavioral Wellness2 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.

• Community Health of East Tennessee Inc

  dba CHET Behavioral Wellness

  • Clinical Social Worker
  • Jacksboro, TN
  • NPI 1871851345
  NPD tax ID

Locations

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1578840138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377570209",
            "telephone_number": "423-563-1037",
            "fax_number": "423-566-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 STONE MILL RD",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377574007",
            "telephone_number": "423-562-1156",
            "fax_number": "423-566-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH OF EAST TENNESSEE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "DABNEY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-562-1705"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TN",
            "license": "I000000009684",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "I000000009684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE DEPARTMENT OF HEALTJ",
            "identifier": "PSS0000000260",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE DEPARTMENT OF MENTAL HEALTH",
            "identifier": "I000000009684",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtackett@chetn.org",
            "affiliation": "N",
            "endpointDescription": "Missy Tackett direct e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "470 Stone Mill Rd",
            "city": "Jacksboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377574007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Developmental Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Developmental Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katrina Collette, LPN
• Mark Anthony Collins, DMD
• Amy Marie Combs, O.D.
• Community Family Dentistry
• Community Health of East Tennessee Inc (CHET Behavioral Wellness)
• Compassionate Home Health Care LLC
• Compassionate Home Health Care, LLC
• Charley Crockett
• Felicia Adele Crockett, LMSW, CSW
• Crossroads Treatment Centers of Tennessee, PC

• Developmentally Disabled Services Day Training Agency in Jacksboro, TN
• Providers in Jacksboro, TN by specialty
• Developmentally Disabled Services Day Training Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.