Organization Active NPI

Medicall, LLC

  • In Home Supportive Care Agency
  • Knoxville, TN
National Provider Identifier
1821515057
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MEDICALL, LLC
Practice address
9111 Cross Park Dr Ste D200
Knoxville, TN 37923
Phone
(865) 470-4103
Fax
(865) 674-5341
NPI assigned
Aug 28, 2017
Last updated
Jul 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Authorized official

Name
David Collins
Title
President
Phone
(865) 470-4103

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Home Health Agency 251E00000X NU
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

9111 Cross Park Dr Ste D200
Knoxville, TN 37923

Mailing address

PO Box 31031
Knoxville, TN 37930-1031
Phone (865) 288-9030

Other practice location 1

4608 Baverton Dr
Knoxville, TN 37921-1446
Phone (865) 804-0752

Other practice location 2

200 Prosperity Dr
Knoxville, TN 37923-4718
Phone (865) 824-2778

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1821515057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31031",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379301031",
            "telephone_number": "865-288-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 CROSS PARK DR STE D200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-470-4103",
            "fax_number": "865-674-5341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4608 Baverton Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379211446",
            "country_code": "US",
            "telephone_number": "865-804-0752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Prosperity Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234718",
            "country_code": "US",
            "telephone_number": "865-824-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-470-4103"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.