Provider Demographics
NPI:1346460953
Name:UNIVERSITY OF TN MEDICAL CENTER HOME CARE SERVICES, LLC
Entity type:Organization
Organization Name:UNIVERSITY OF TN MEDICAL CENTER HOME CARE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:L
Authorized Official - Last Name:TUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-207-2726
Mailing Address - Street 1:900 E HILL AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37915-2569
Mailing Address - Country:US
Mailing Address - Phone:865-544-6200
Mailing Address - Fax:865-544-6240
Practice Address - Street 1:900 E HILL AVE STE 310
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37915-2569
Practice Address - Country:US
Practice Address - Phone:865-544-6200
Practice Address - Fax:865-544-6240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000156251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0447230Medicaid