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Contact Information

AT HOME HEALTHCARE OF EAST TENNESSEE
LBN STAFFCO OF EASTERN TENNESSEE, LLC.
1447 VANCE RD.
SUITE 101
CHATTANOOGA, TN37421
 Phone: 423-385-8120
 Fax: 423-385-8125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

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

NPI Profile & details for AT HOME HEALTHCARE OF EAST TENNESSEE

NPI # 1447588579
LBN Legal business name STAFFCO OF EASTERN TENNESSEE, LLC.
DBA Doing business as AT HOME HEALTHCARE OF EAST TENNESSEE
Authorized official JASON NIPPS - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2009
Last updated 12/01/2009 - About 17 years ago
Identifiers
TN License # L000000005138
TN Medicaid H445298
TN Other 000000005138 STATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES
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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