Nutritional Support Services

LBN: Nutritional Support Services
Nutritional Support Services is an health care organization with primary practice located at 9000 Executive Park Drive Suite A 301, Knoxville TN 37923-4656. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Parenteral & Enteral Nutrition is the primary health care specialty. Nutritional Support Services can be contacted via phone (865) 690-9900, or through Leeman, Terry via phone (865) 690-9900.

Contact Information

Primary practice address
9000 Executive Park Drive Suite A 301 Knoxville TN 37923-4656
Phone: (865) 690-9900
Fax: (865) 531-7016
Website:
Map and Directions
Authorized official contact:
Name: Leeman, Terry
Phone: (865) 690-9900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1689601809
LBN Legal business name Nutritional Support Services
DBA Doing business as
Authorized official Leeman, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2006
Last updated Jan 28th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689601809 NPPES
Arkansas MEDICAID 112948716
Arkansas MEDICAID 30762373
Arkansas MEDICAID 3545979
Arkansas MEDICAID DM0001
Arkansas MEDICAID 622293603
Arkansas MEDICAID 00571986A
Arkansas MEDICAID 209086400
Arkansas MEDICAID 100010580A
Arkansas Other 10MF49
Arkansas MEDICAID 90262056
Arkansas MEDICAID 1354317
Arkansas MEDICAID 40111
Arkansas MEDICAID 073622502
Arkansas MEDICAID 100002960A
Arkansas MEDICAID 9143513
Arkansas MEDICAID 009000730
Arkansas MEDICAID 01305375
Arkansas MEDICAID 7611272
Arkansas MEDICAID 80966900

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