THE ARC OF WASHINGTON COUNTY, INC (NPI# 1295869147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295869147 |
| Entity Type | Organization |
| Organization Name | THE ARC OF WASHINGTON COUNTY, INC |
| Practice Address |
2700 S Roan St Suite 300b Johnson City TN 37601-7556 |
| Practice Telephone | 4239289362 |
| Practice Fax Number | 4239287431 |
| Mailing Telephone | 4239289362 |
| Mailing Fax Number | 4239287431 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM SCHIERS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4239289362 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
L 327-086-1507 | TN | Respite Care Facility |
| Street Address |
2700 S ROAN ST SUITE 300B |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-7556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477641488 | Holly Steel Davis | Counselor | 2700 S Roan St, Ste 205, Johnson City, TN 37601-7556 | 2006-10-11 |
| 1649706490 | Alexamdra D'shay Myers | Case Manager/Care Coordinator | 2700 S Roan St, Suite 425, Johnson City, TN 37601-7556 | 2017-05-11 |
| 1689119315 | Melissa Paige Wright | Social Worker | 2700 S Roan St, Suite 425, Johnson City, TN 37601-7556 | 2017-01-04 |
| 1578008942 | Aaliyah Russell | Case Manager/Care Coordinator | 2700 S Roan St, Johnson City, TN 37601-7556 | 2016-12-21 |
| 1871048686 | Lauren Jarrett | Social Worker | 2700 S Roan St, Unit 425, Johnson City, TN 37601-7556 | 2016-08-22 |
| 1275903593 | Daia G Stager | Counselor | 2700 S Roan St, Suite 425, Johnson City, TN 37601-7556 | 2015-09-29 |
| 1942699798 | Emily Beck, Ph.d., Pllc | Clinic/Center | 2700 S Roan St, Suite 205, Johnson City, TN 37601-7556 | 2015-01-16 |
| 1114316304 | Sheila Dawn Miller | Social Worker | 2700 S Roan St, Johnson City, TN 37601-7556 | 2015-01-12 |
| 1437586237 | 01 A Ll-states Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 2700 S Roan St, Ste 101, Johnson City, TN 37601-7556 | 2013-10-11 |
| 1568898963 | Katie L Davenport | Case Manager/Care Coordinator | 2700 S Roan St, Suite 425, Johnson City, TN 37601-7556 | 2013-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154696151 | Shepherd's Haven Ministries | Respite Care | 175 Shepherds Haven Way, Arlington, TN 38002-4257 | 2012-03-09 |
| 1154600807 | Pauline & Thomas Healthcare, Inc | Respite Care | 610 West College St, 170, Murfreesboro, TN 37130-3584 | 2011-08-12 |
| 1114128121 | Healthcare Staffers, LLC | Respite Care | 545 Mainstream Dr Ste 100, Nashville, TN 37228-1213 | 2007-05-29 |
| 1770867251 | Patricia Denise Payne | Respite Care | 3145 Hickory Hill Rd, Suite 106b, Memphis, TN 38115-2518 | 2011-10-03 |
| 1588973242 | Hope Services, Inc. | Respite Care | 1161 Murfreesboro Pike, Suite 502, Nashville, TN 37217-2222 | 2010-09-29 |
| 1396896957 | Comcare, Inc. | Respite Care | 100 Pennsylvania Ave, Greeneville, TN 37743-4624 | 2007-01-12 |
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on THE ARC OF WASHINGTON COUNTY, INC.
| 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.