Home Health Care of East Tennessee, Inc.
Organization Active NPI Community Based Hospice Care Agency · Cleveland, TN
NPI 1669455481 · NPPES record last updated Aug 8, 2019
Key facts
- NPI
- 1669455481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 387 (TN)
- Legal business name
- HOME HEALTH CARE OF EAST TENNESSEE, INC.
- Practice address
- 2765 Executive Park NW
Cleveland, TN 37312-2765 - Phone
- (423) 479-6892
- Fax
- (423) 718-0778
- NPI assigned
- Nov 25, 2005
- Organization subpart
- No
Authorized official
- Name
- Christopher Jones
- Title
- Ceo
- Phone
- (615) 733-3600
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Member of 1
Facilities with the same owner 151
Affiliated clinicians 5
-
Donald E Vollmer II, M.D.
-
Dwight H Willett, M.D.
-
Alejandra Staubs, D.O.
Medicare Care Compare: Hospice
- Listed as
- Adoration Home Health & Hospice Care East Tennesse
- Ownership
- For-Profit
- Certified
- Jan 17, 1995
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Hospice certification: CCN 441557
- Legal name
- HOME HEALTH CARE OF EAST TENNESSEE, INC.
- Doing business as
- ADORATION HOME HEALTH AND HOSPICE CARE EAST TENNESSEE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 17, 1995
- Last certification
- Jul 15, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jan 17, 1984 in TN
- Enrollment address
- 2765 Executive Park NW
Cleveland, TN 37312-2765
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Phipps |
Corporate Officer |
Jul 22, 2022 | |
| Walgreen Co |
5% Or Greater Indirect Ownership Interest | May 17, 2019 | 29% |
| Adoration Home Health & Hospice Inc |
5% Or Greater Indirect Ownership Interest | May 17, 2019 | 100% |
| Allison Brown |
Corporate Officer |
Jul 22, 2022 | |
| Margaret Sherry Pemberton |
Corporate Director | Mar 19, 2020 | |
| Brightspring Health Holdings Corp |
5% Or Greater Indirect Ownership Interest | May 17, 2019 | 100% |
| Cindy Smith |
W-2 Managing Employee | Jan 7, 2020 | |
| Phoenix Guarantor Inc. |
5% Or Greater Indirect Ownership Interest | May 17, 2019 | 100% |
| Res-Care Inc |
5% Or Greater Indirect Ownership Interest | May 17, 2019 | 100% |
| Adoration Health Care Holdings LLC |
5% Or Greater Direct Ownership Interest | May 17, 2019 | 100% |
| Phoenix Intermediate Holdings Inc. |
5% Or Greater Indirect Ownership Interest | May 17, 2019 | 100% |
| Elizabeth Robinson |
Corporate Officer | Aug 1, 2024 | |
| Corporate Director | Aug 1, 2024 | ||
| Walgreens Holding Company |
5% Or Greater Indirect Ownership Interest | May 17, 2019 | 29% |
| Stacey Cloninger |
W-2 Managing Employee |
Oct 30, 2023 | |
| Brightspring Health Services Inc |
5% Or Greater Indirect Ownership Interest | May 17, 2019 | 100% |
| KKR Phoenix Aggregator L.P. |
5% Or Greater Indirect Ownership Interest | May 17, 2019 | 68% |
| KKR Americas Fund XII LP |
5% Or Greater Indirect Ownership Interest | May 17, 2019 | 68% |
| Rescare Holdings Inc |
5% Or Greater Indirect Ownership Interest | May 17, 2019 | 100% |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Adoration Home Health and Hospice Care Mississippi |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2012 |
| Adoration Home Health Care Mississippi |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2012 |
| Adoration Home Health and Hospice Care Mississippi |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2012 |
| Adoration Hospice Care Mississippi |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080521000079 | TN | Part a Provider - Hospice | 7214919554 | Practice locations: Chattanooga, TN; Cleveland, TN; Harriman, TN; Manchester, TN; Sweetwater, TN |
National Provider Directory
- Tax ID family
- Home Hlthcr E TN Inc
Locations
770 Stuart Rd NE
Cleveland, TN 37312
Phone (423) 479-2757
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 387 | TN | Yes |
Addresses
Primary practice location
2765 Executive Park NW
Cleveland, TN 37312-2765
Mailing address
770 Stuart Rd NE
Cleveland, TN 37312-5080
Phone (423) 479-2757
Other names
- Adoration Home Health and Hospice Care East Tennessee
Other providers in Cleveland, TN
- Cammy Shawn Holmes
- Brandon Holt
- Julie A Holt
- Home Health Care of East Tennessee, Inc.
- Home Health Care of East Tennessee, Inc.
- Julie Ann Hook
- Kayla Hooker
- Leah Hooper
- Michael Lee Hoops
- Hopewell Therapy Services PLLC
All providers in Cleveland, TN · Community Based Hospice Care 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 Aug 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.