East Tennessee Community Homes

LBN: State Of Tennessee
East Tennessee Community Homes is an health care organization with primary practice located at 633 Amity Rd , Greeneville TN 37743-7922. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. State Of Tennessee can be contacted via phone (423) 787-0242, or through Story, Margi E via phone (423) 787-6757.

Contact Information

Primary practice address
633 Amity Rd Greeneville TN 37743-7922
Phone: (423) 787-0242
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Story, Margi E
Phone: (423) 787-6757

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X I000000010132 Tennessee

Profile Details

NPI number 1528339157
LBN Legal business name State Of Tennessee
DBA Doing business as East Tennessee Community Homes
Authorized official Story, Margi E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2012
Last updated Jan 12th, 2012 - about 12 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 1528339157 NPPES
Tennessee MEDICAID PENDING

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