Organization Active NPI

Takoma Adventist Hospital

  • Home Health Agency
  • Greeneville, TN
National Provider Identifier
1962435255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
00000000-86 Issued in TN
Legal business name
TAKOMA ADVENTIST HOSPITAL
Doing business as
Takoma Home Health Services
Practice address
1021 Coolidge St
Greeneville, TN 37743-4672
Phone
(423) 636-0700
Fax
(423) 636-0706
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Blin Richards
Title
Cfo
Phone
(423) 639-3151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 00000000-86 TN Primary

Addresses

Primary practice location

1021 Coolidge St
Greeneville, TN 37743-4672

Mailing address

1021 Coolidge St
Greeneville, TN 37743-4672
Phone (423) 636-0700

Other identifiers 10

IdentifierTypeStateIssuer
447417OtherTNCARITEN SENIOR HLTH MCR
447417OtherTNJOHN DEERE HLTH MCR
447417OtherTNUNITED HEALTHCARE
153116OtherTNTENNCARE SELECT
447417OtherTNSTERLING LIFE MCR
0007714697OtherTNAETNA
447417OtherTNJOHN DEER TENNCARE
0153116OtherTNBLUE CARE/BLUE SHIELD
447417OtherTNHUMANA INS GOLD CHC MCR
447417OtherTNPHP COMPANIES

Other names 1

  • Takoma Home Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Takoma Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962435255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 COOLIDGE ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434672",
            "telephone_number": "423-636-0700",
            "fax_number": "423-636-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 COOLIDGE ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434672",
            "telephone_number": "423-636-0700",
            "fax_number": "423-636-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKOMA ADVENTIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "BLIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-639-3151"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "00000000-86",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN SENIOR HLTH MCR",
            "identifier": "447417",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HLTH MCR",
            "identifier": "447417",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "447417",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE SELECT",
            "identifier": "153116",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING LIFE MCR",
            "identifier": "447417",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007714697",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEER TENNCARE",
            "identifier": "447417",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE/BLUE SHIELD",
            "identifier": "0153116",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INS GOLD CHC MCR",
            "identifier": "447417",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP COMPANIES",
            "identifier": "447417",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Takoma Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.