Hot Rod Shannon

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOT ROD SHANNON

Practice address

2303 Morgan County Hwy
Wartburg, TN 37887-3528

Phone

(865) 748-7003

Fax

(423) 346-2139

NPI assigned

Nov 4, 2015

Last updated

Nov 4, 2015By 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. James Thomas Campbell

Title

President

Phone

(865) 748-7003

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, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wartburg, TN
  • NPI 1659648764
  NPD tax ID

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1689047375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1057",
            "address_2": "117 COON HUNTER ROAD",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378871057",
            "telephone_number": "865-748-7003",
            "fax_number": "423-346-2139"
        },
        {
            "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": "865-748-7003",
            "fax_number": "423-346-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOT ROD SHANNON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-748-7003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• In Home Supportive Care Agency in Wartburg, TN
• Providers in Wartburg, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.