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Contact Information

CONTINUCARE HEALTHSERVICES, INC. - WAIVER
1501 RIVERSIDE DRIVE
SUITE 350
CHATTANOOGA, TN37406
 Phone: 423-624-8281
 Fax: 423-624-0133
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for CONTINUCARE HEALTHSERVICES, INC. - WAIVER

NPI Number 1235224650
LBN Legal business name CONTINUCARE HEALTHSERVICES, INC. - WAIVER
Authorized official DONNA BOURDON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 06/24/2013 - About 13 years ago
Identifiers
TN License # 0000000098
TN Medicaid 0447471
TN Other 004444 DMRS WAIVER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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