Provider Demographics
NPI:1669455481
Name:HOME HEALTH CARE OF EAST TENNESSEE, INC.
Entity Type:Organization
Organization Name:HOME HEALTH CARE OF EAST TENNESSEE, INC.
Other - Org Name:ADORATION HOME HEALTH AND HOSPICE CARE EAST TENNESSEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-733-3600
Mailing Address - Street 1:770 STUART RD NE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-5080
Mailing Address - Country:US
Mailing Address - Phone:423-479-2757
Mailing Address - Fax:423-479-5422
Practice Address - Street 1:2765 EXECUTIVE PARK NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-2765
Practice Address - Country:US
Practice Address - Phone:423-479-6892
Practice Address - Fax:423-718-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-25
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN387251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN44-1557Medicare PIN