Provider Demographics
NPI:1508192154
Name:CARIS HEALTHCARE, LP
Entity Type:Organization
Organization Name:CARIS HEALTHCARE, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-694-4848
Mailing Address - Street 1:10651 COWARD MILL RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-3006
Mailing Address - Country:US
Mailing Address - Phone:865-694-4848
Mailing Address - Fax:865-694-7878
Practice Address - Street 1:60 RIDLEY ST STE 127
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-6075
Practice Address - Country:US
Practice Address - Phone:931-456-8970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARIS HEALTHCARE, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-02
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN605251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0441584Medicaid
TN441584Medicare Oscar/Certification