Organization
COMCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY THOMAS (EXECUTIVE DIRECTOR)
(423) 638-3926
Entity
Organization
Contact information
Practice address
100 PENNSYLVANIA AVE, GREENEVILLE, TN 37743-4624
(423) 638-3926
(423) 638-1105
Mailing address
100 PENNSYLVANIA AVE, GREENEVILLE, TN 37743-4624
(423) 638-3926
(423) 638-1105
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
L000000015096
TN
251C00000X
Developmentally Disabled Services Day Training Agency
L000000017028
TN
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
PSS00000000281
TN
251J00000X
Nursing Care Agency
Primary
—
—
253J00000X
Foster Care Agency
L000000015095
TN
253J00000X
Foster Care Agency
L000000017024
TN
253J00000X
Foster Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
L000000015095
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
L000000017024
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
L000000015095
TN
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
L000000017024
TN
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L000000015095
COMMUNITY BASED RESIDENTIAL TREATMENT, MENTAL RETARDATION
TN
Enumeration date
01/12/2007
Last updated
11/20/2020
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