Hot Rod Shannon, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HOT ROD SHANNON, INC.

Practice address

2303 Morgan County Hwy
Wartburg, TN 37887-3528

Phone

(423) 346-4630

Fax

(423) 346-4631

NPI assigned

Nov 18, 2011

Last updated

Nov 18, 2011By 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

Alice Freels

Title

President

Phone

(423) 539-2757

Specialties & licenses 1

Addresses

Tax ID family

Hot Rod Shannon2 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.

• Hot Rod Shannon

  • In Home Supportive Care Agency
  • Wartburg, TN
  • NPI 1689047375
  NPD tax ID

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1659648764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 MORGAN COUNTY HWY",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378873528",
            "telephone_number": "423-346-4630",
            "fax_number": "423-346-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 MORGAN COUNTY HWY",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378873528",
            "telephone_number": "423-346-4630",
            "fax_number": "423-346-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOT ROD SHANNON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "FREELS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-539-2757"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Dale Higgs, MD
• Home Comfort Medical Equipment
• Homegrown Pediatric Therapy, LLC
• Jennifer L Hoskins, FNP-BC
• Hot Rod Shannon
• Benjamin R Howard, D.D.S.
• Robert Allan Hysell Jr., RN
• Ionela M Krulewich Dba Eagle Care TN (Eagle Care TN)
• Heather Jackson
• Tina Louise Jackson, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wartburg, TN
• Providers in Wartburg, TN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.