ELCM JOHNSON CITY LEASING LLC (NPI# 1366998718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366998718 |
| Entity Type | Organization |
| Organization Name | ELCM JOHNSON CITY LEASING LLC |
| Practice Address |
2111 E Lakeview Dr Johnson City TN 37601-1890 |
| Mailing Address |
14241 Dallas Pkwy Suite 650, Building 3 Dallas TX 75254-2936 |
| Practice Telephone | 4239261292 |
| 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 |
ACL0000000376 | TN | Nursing & Custodial Care Facilities |
| Street Address |
2111 E LAKEVIEW DR |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639627961 | Elcm Johnson City Management LLC | Custodial Care Facility | 2111 E Lakeview Dr, Johnson City, TN 37601-1890 | 2016-09-15 |
| 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 | 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 |
|---|---|---|---|---|
| 1639627961 | Elcm Johnson City Management LLC | Custodial Care Facility | 2111 E Lakeview Dr, Johnson City, TN 37601-1890 | 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 |
| 1033665492 | Elcm Oak Ridge Leasing LLC | Custodial Care Facility | 300 Briarcliff Ave, Oak Ridge, TN 37830-8731 | 2016-08-26 |
| 1134582919 | Boyce & Welch Logistics Transportation | Custodial Care Facility | 7133 Chevy Chase, Memphis, TN 38125-2610 | 2016-03-30 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on ELCM JOHNSON CITY LEASING LLC.
| 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.