Provider Demographics
NPI:1629311923
Name:TENNESSEE SUPPORT SERVICES INC.
Entity Type:Organization
Organization Name:TENNESSEE SUPPORT SERVICES INC.
Other - Org Name:COMFORT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACKWELDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-922-3030
Mailing Address - Street 1:3524 NEAL DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-5229
Mailing Address - Country:US
Mailing Address - Phone:865-922-2202
Mailing Address - Fax:865-922-4200
Practice Address - Street 1:3524 NEAL DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-5229
Practice Address - Country:US
Practice Address - Phone:865-922-2202
Practice Address - Fax:865-922-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000012383253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care