Organization Name: | HEARTH HOSPICE OF TENNESSEE, LLC |
NPI Number: | 1447596390 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES T POTEET (PRESIDENT AND CEO) |
Mailing Address: | 1800a Rossville Ave Suite 7 Chattanooga |
State: | TN US |
Postal Code: | 374081912 |
Phone Number: | 4235316555 |
Fax Number: | 4235316565 |
NPI Enumeration Date: | 12/21/2012 |
NPI Last Update Date: | 04/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 620 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |