Provider Demographics
NPI:1174783112
Name:MORRISTOWN-HAMBLEN HOMECARE AND HOSPICE, LLC
Entity type:Organization
Organization Name:MORRISTOWN-HAMBLEN HOMECARE AND HOSPICE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:L
Authorized Official - Last Name:TUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-207-2726
Mailing Address - Street 1:3301 W ANDREW JOHNSON HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3605
Mailing Address - Country:US
Mailing Address - Phone:423-586-9291
Mailing Address - Fax:423-586-1463
Practice Address - Street 1:3301 W ANDREW JOHNSON HWY STE 100
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3605
Practice Address - Country:US
Practice Address - Phone:423-586-9291
Practice Address - Fax:423-586-1463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN153251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN447500Medicare Oscar/Certification