NPIMap

Organization Active NPI

East Tennessee Childrens Hospital Association Inc

  • Home Health Agency
  • Knoxville, TN
National Provider Identifier
1952407652
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0000000132 Issued in TN
Legal business name
EAST TENNESSEE CHILDRENS HOSPITAL ASSOCIATION INC
Practice address
11227 W Point Dr
Knoxville, TN 37934-2838
Phone
(865) 675-8181
Fax
(865) 675-8111
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Andrew Rosendahl
Title
Cfo
Phone
(865) 541-8154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0000000132 TN Primary

Addresses

Primary practice location

11227 W Point Dr
Knoxville, TN 37934-2838

Mailing address

PO Box 15004
Knoxville, TN 37901-5004
Phone (865) 541-8895

Other identifiers 1

IdentifierTypeStateIssuer
0447465MedicaidTN

Other names 1

  • East Tennessee Childrens Hospital Home Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110224000956 TN Part A Provider - Home Health Agency 6204817661 Practice locations: Knoxville, TN

Home health agency certification: CCN 447465

Legal name
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.
Doing business as
EAST TENNESSEE CHILDREN'S HOSPITAL HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 15, 1984
Last certification
Dec 6, 2017
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Jan 26, 1946 in TN
Enrollment address
11227 West Point Drive
Knoxville, TN 37934-2838

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
East TN Childrens Hosp Home HealthCCN 447465
Ownership
Proprietary
Certified
Nov 15, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
East Tennessee Children'S28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

11227 W Point Dr
Knoxville, TN 37934
Phone (865) 675-8181

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cathy Ackermann Individual Corporate DirectorBoard Member Jul 1, 2012
Scott W. Brice Individual Corporate DirectorBoard Member Jul 1, 2012
Keith D Goodwin Individual Corporate OfficerCeo Jun 1, 1997
Corporate DirectorCeo Jun 1, 1997
W-2 Managing EmployeeCeo Jun 1, 1997
Ronald J Phillips Individual W-2 Managing EmployeeDirector, Children'S Home Health Dec 27, 2010
James B. Clayton Individual Corporate DirectorBoard Member Jul 1, 2015
David Stevens Individual Corporate DirectorBoard Member Jul 1, 2016
Randall L Gibson Individual Corporate DirectorBoard Member Aug 1, 2011
East Tennessee Children'S Hospital Association, Inc. Organization, Knoxville, TN Non-profit Operational/Managerial Control Jan 26, 1966 100%
Kenneth J. Rueter Individual Corporate DirectorBoard Member Jul 1, 2017
Brian T. Ferguson Individual Corporate DirectorBoard Member Jul 1, 2017
Kim Wood Individual Corporate DirectorBoard Member Jul 1, 2015
Scott Daniel Individual Corporate DirectorBoard Member Jul 1, 2017
Cameron J Sears Individual Corporate DirectorChief of Staff/Ex-Officio Board Mem Jan 1, 2017
Larry B Martin Individual Corporate DirectorBoard Member Jul 1, 2010
Andrea Anne White Individual Corporate DirectorBoard Member Jul 1, 2013
Barbara Summers Individual Corporate DirectorBoard Member Jul 1, 2017
Caryn Hawthorne Individual Corporate DirectorChief Financial Officer May 16, 2016
John Buchheit Individual Corporate DirectorBoard Member Jul 1, 2011

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1952407652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15004",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379015004",
            "telephone_number": "865-541-8895",
            "fax_number": "865-633-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 W POINT DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342838",
            "telephone_number": "865-675-8181",
            "fax_number": "865-675-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE CHILDRENS HOSPITAL ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "ROSENDAHL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "865-541-8154"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447465",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Tennessee Childrens Hospital Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Tennessee Childrens Hospital Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.