Organization
TAKOMA ADVENTIST HOSPITAL
Active
Other names
Takoma Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
BLIN RICHARDS (CFO)
(423) 639-3151
Entity
Organization
Contact information
Practice address
1021 COOLIDGE ST, GREENEVILLE, TN 37743-4672
(423) 636-0700
(423) 636-0706
Mailing address
1021 COOLIDGE ST, GREENEVILLE, TN 37743-4672
(423) 636-0700
(423) 636-0706
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00000000-86
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007714697
AETNA
TN
01
—
0153116
BLUE CARE/BLUE SHIELD
TN
01
—
153116
TENNCARE SELECT
TN
01
—
447417
CARITEN SENIOR HLTH MCR
TN
Enumeration date
07/09/2006
Last updated
08/22/2020
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