# TAKOMA ADVENTIST HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Takoma Home Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962435255
- **Authorized official:** BLIN RICHARDS (CFO)
- **Authorized official phone:** (423) 639-3151

## Contact information

- **Practice address:** 1021 COOLIDGE ST, GREENEVILLE, TN 37743-4672
- **Practice address phone:** (423) 636-0700
- **Practice address fax:** (423) 636-0706
- **Mailing address:** 1021 COOLIDGE ST, GREENEVILLE, TN 37743-4672
- **Mailing address phone:** (423) 636-0700
- **Mailing address fax:** (423) 636-0706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 00000000-86 | TN | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 08/22/2020