NPIMap

Organization Active NPI

South East Tennessee Human Resource Agency

  • In Home Supportive Care Agency
  • Dunlap, TN
National Provider Identifier
1750519971
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SOUTH EAST TENNESSEE HUMAN RESOURCE AGENCY
Practice address
312 Resource Rd
Dunlap, TN 37327-3342
Phone
(423) 949-2191
Fax
(423) 949-4023
NPI assigned
Jun 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Ms. Nancy D Sutherland
Title
Executive Director
Phone
(423) 949-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

312 Resource Rd
Dunlap, TN 37327-3342

Mailing address

1012 Resource Rd
PO Box 909
Dunlap, TN 37327-6338
Phone (423) 949-2191

Other identifiers 1

IdentifierTypeStateIssuer
0445754MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Southeast TN Human Resource Agency4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1750519971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 RESOURCE RD",
            "address_2": "PO BOX 909",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373276338",
            "telephone_number": "423-949-2191",
            "fax_number": "423-949-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 RESOURCE RD",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373273342",
            "telephone_number": "423-949-2191",
            "fax_number": "423-949-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST TENNESSEE HUMAN RESOURCE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "423-949-2191",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445754",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunlap, TN

Sources for this page

  • 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.