Provider Demographics
NPI:1184851214
Name:FITTS ENTERPRISES LLC
Entity Type:Organization
Organization Name:FITTS ENTERPRISES LLC
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:FITTS
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:423-296-9117
Mailing Address - Street 1:122 LEE PARKWAY DRIVE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421
Mailing Address - Country:US
Mailing Address - Phone:423-296-9117
Mailing Address - Fax:423-296-9172
Practice Address - Street 1:122 LEE PARKWAY DR
Practice Address - Street 2:SUITE 402
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-6805
Practice Address - Country:US
Practice Address - Phone:423-296-9117
Practice Address - Fax:423-296-9172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000003457253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care