# AT HOME HEALTHCARE OF NORTHEASTERN TENNESSEE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790093946
- **Authorized official:** MR. SHAWN D. SPIVEY (DIRECTOR)
- **Authorized official phone:** (865) 247-5645

## Contact information

- **Practice address:** 301 S GALLAHER VIEW RD, KNOXVILLE, TN 37919-5355
- **Practice address phone:** (865) 247-5645
- **Practice address fax:** (865) 247-5670
- **Mailing address:** 301 S GALLAHER VIEW RD, KNOXVILLE, TN 37919-5355
- **Mailing address phone:** (865) 247-5645
- **Mailing address fax:** (865) 247-5670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2010
- **Last updated:** 09/22/2010