ELCM OAK RIDGE LEASING LLC (NPI# 1033665492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033665492 |
| Entity Type | Organization |
| Organization Name | ELCM OAK RIDGE LEASING LLC |
| Practice Address |
300 Briarcliff Ave Oak Ridge TN 37830-8731 |
| Mailing Address |
14241 Dallas Pkwy Suite 650, Building 3 Dallas TX 75254-2936 |
| Practice Telephone | 8654816009 |
| Mailing Telephone | 9732196873 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |
| Authorized Official Name | PAUL BOETHEL (PRINCIPAL) |
| Authorized Official Telephone | 2145356071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
ACL0000000346 | TN | Nursing & Custodial Care Facilities |
| Street Address |
300 BRIARCLIFF AVE |
| City | OAK RIDGE |
| State | TN |
| Zip Code | 37830-8731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992253223 | Elcm Oak Ridge Management LLC | Custodial Care Facility | 300 Briarcliff Ave, Oak Ridge, TN 37830-8731 | 2016-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388702 | Oak Ridge Pharmacy | Pharmacy | 854 Main St W, Oak Ridge, TN 37830 | 2019-04-18 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
| 1710475660 | Oak Ridge Smiles Dentistry, PC | Dentist | 377 S. Illinois Ave., Oak Ridge, TN 37830 | 2018-04-26 |
| 1417344763 | Heather Cupp | Social Worker | 723 Emory Valley Road, Oak Ridge, TN 37830 | 2015-04-23 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| 1578838223 | Second Chance Recovery In Faith, Inc | Community/Behavioral Health | 234 W Tennessee Ave, Oak Ridge, TN 37830 | 2012-03-14 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
| 1356658165 | Fred Lewis Stephens | Social Worker | 150 E Division Rd Ste 10, Oak Ridge, TN 37830 | 2010-09-01 |
| Find all providers in zip 37830 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992253223 | Elcm Oak Ridge Management LLC | Custodial Care Facility | 300 Briarcliff Ave, Oak Ridge, TN 37830-8731 | 2016-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265045223 | Charity Baker | Custodial Care Facility | 677 Westwood Ave, Jackson, TN 38301-4230 | 2020-08-28 |
| 1790305225 | Compassionate Hearts Home Care | Custodial Care Facility | 1910 Madison Ave # 2124, Memphis, TN 38104-2620 | 2020-04-24 |
| 1346710662 | Kathleen Harbaugh | Custodial Care Facility | 526 Turkey Oak Road, Crossville, TN 38555-1502 | 2018-11-29 |
| 1467955542 | Homevent Care LLC | Custodial Care Facility | 7201 Kayla Beth Ct, Ooltewah, TN 37363-6272 | 2018-03-14 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1336660950 | Philanda Britton | Custodial Care Facility | 3093 North Watkins St., Memphis, TN 38121 | 2017-07-05 |
| 1821524075 | His House | Custodial Care Facility | 5010 Mount Zion Rd, Springfield, TN 37172-7130 | 2017-05-10 |
| 1962958322 | Elcm Knoxville Leasing LLC | Custodial Care Facility | 801 E Inskip Dr, Knoxville, TN 37912-3734 | 2016-08-26 |
| 1366998718 | Elcm Johnson City Leasing LLC | Custodial Care Facility | 2111 E Lakeview Dr, Johnson City, TN 37601-1890 | 2016-08-26 |
| 1134582919 | Boyce & Welch Logistics Transportation | Custodial Care Facility | 7133 Chevy Chase, Memphis, TN 38125-2610 | 2016-03-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.