Provider Demographics
NPI:1508902693
Name:CARING HANDS FAMILY MEDICINE LLC
Entity Type:Organization
Organization Name:CARING HANDS FAMILY MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BLANKENSHIP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:731-209-0449
Mailing Address - Street 1:641 RB WILSON DR STE D
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:TN
Mailing Address - Zip Code:38344-1734
Mailing Address - Country:US
Mailing Address - Phone:731-209-0449
Mailing Address - Fax:731-209-0443
Practice Address - Street 1:641 RB WILSON DR STE D
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:TN
Practice Address - Zip Code:38344-1734
Practice Address - Country:US
Practice Address - Phone:731-209-0449
Practice Address - Fax:731-209-0443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36219207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3827405Medicaid
TN3827405Medicare ID - Type Unspecified
TN3827405Medicaid