Elcm Knoxville Leasing LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

ACL0000000377 Issued in TN

Legal business name

ELCM KNOXVILLE LEASING LLC

Practice address

801 E Inskip Dr
Knoxville, TN 37912-3734

Phone

(865) 357-1660

NPI assigned

Aug 26, 2016

Organization subpart

No

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

Authorized official

Name

Paul Boethel

Title

Principal

Phone

(214) 535-6071

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1962958322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 DALLAS PKWY",
            "address_2": "SUITE 650, BUILDING 3",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542936",
            "telephone_number": "973-219-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E INSKIP DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379123734",
            "telephone_number": "865-357-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELCM KNOXVILLE LEASING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "BOETHEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "214-535-6071"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TN",
            "license": "ACL0000000377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Case Eisenberg, D.D.S.
• Emily Eisenhart, LPC-MHSP, LMFT
• Michael L Eisenstadt, MD
• Katia El-Najjar
• Lori Lea Elam, BS
• Elcm Knoxville Management LLC
• Elder Care of Knoxville, LLC
• Charles Elder
• Robert F Elder, M.D.
• Shirley Elder

• Adult Care Home Facility in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Adult Care Home Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.