Elcm Oak Ridge Management LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

ACL0000000346 Issued in TN

Legal business name

ELCM OAK RIDGE MANAGEMENT LLC

Practice address

300 Briarcliff Ave
Oak Ridge, TN 37830-8731

Phone

(865) 481-6009

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Ken Adler

Title

Associate

Phone

(972) 728-8745

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1992253223",
    "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": "300 BRIARCLIFF AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308731",
            "telephone_number": "865-481-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELCM OAK RIDGE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "972-728-8745"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TN",
            "license": "ACL0000000346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Ellam, NP
• Alicia Ellis, NP
• Seta Lamallari Ellis, DO
• Jesse Ellsworth, DMD

• All providers in Oak Ridge, TN
• Adult Care Home Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.