# BACK ON TRACK OVER TN LLC

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

## Provider details

- **NPI number:** 1851146195
- **Authorized official:** ANTONIO HUGHES CNA (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (865) 393-9339

## Contact information

- **Practice address:** 3936 SELMA AVE, KNOXVILLE, TN 37914-4855
- **Practice address phone:** (865) 556-4939
- **Practice address fax:** (865) 393-9339
- **Mailing address:** 3936 SELMA AVE, KNOXVILLE, TN 37914-4855
- **Mailing address phone:** (865) 556-4939
- **Mailing address fax:** (865) 393-9339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 315D00000X | Inpatient Hospice | — | NULL | — |

## Other

- **Enumeration date:** 04/19/2024
- **Last updated:** 11/08/2025