J.W. Carell Enterprises, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0000000265 Issued in TN

Legal business name

J.W. CARELL ENTERPRISES, LLC

Practice address

200 Hobson St
Ste 44
McMinnville, TN 37110-1671

Phone

(931) 473-9556

Fax

(931) 474-1910

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Carell

Title

Owner/President

Phone

(615) 781-0666

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• CareAll Home Care Services, Inc. Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• J.W. Carell Enterprises, LLC

  • Home Health Agency
  • Knoxville, TN
  • NPI 1588629950

  Member Of

  NPD member

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Abilishealth McMinnville, LLC

  • Home Health Agency
  • McMinnville, TN
  • NPI 1275013229

  Sold to, 2018-08-01

  CMS change of ownership

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1811952062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOBSON ST",
            "address_2": "STE 44",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101671",
            "telephone_number": "931-473-9556",
            "fax_number": "931-474-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOBSON ST",
            "address_2": "STE 44",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101671",
            "telephone_number": "931-473-9556",
            "fax_number": "931-474-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.W. CARELL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "CARELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "615-781-0666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE PROVIDER ID",
            "identifier": "A3711001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP COMMUNITY CARIE PROVIDER ID",
            "identifier": "01-035023",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID",
            "identifier": "4167951",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareAll Home Care Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.