MOUNTAIN STATES HEALTH ALLIANCE (NPI# 1396717963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396717963 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN STATES HEALTH ALLIANCE |
| Other Organization Name | BALLAD HEALTH HOMECARE |
| Practice Address |
1410 Tusculum Blvd Ste 1600 Greeneville TN 37745-4286 |
| Mailing Address |
311 Princeton Rd Ste 1 Johnson City TN 37601-2026 |
| Practice Telephone | 4237875030 |
| Practice Fax Number | 4237875009 |
| Mailing Telephone | 4237875030 |
| Mailing Fax Number | 4237875009 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | MARY LYNN KRUTAK (EVP/CFO) |
| Authorized Official Telephone | 4233023423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 0000000088 | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 044-7428 | 05 |
| Other Name | Type Code |
|---|---|
| Ballad Health Homecare | Doing Business As Name - Organization |
| Laughlin Home Health Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962998732 | Mountain States Health Alliance | Home Health | 312 Cummings St Ste A, Abingdon, VA 24210-3200 | 2018-07-05 |
| 1336635192 | Mountain States Health Alliance | Hospice, Inpatient | 312 Cummings St Ste B, Abingdon, VA 24210-3200 | 2018-07-05 |
| 1669902243 | Mountain States Health Alliance | Hospice Care, Community Based | 312 Hospital Dr Suite 1b, Clintwood, VA 24228 | 2017-06-15 |
| 1316476211 | Mountain States Health Alliance | Home Health | 312 Hospital Dr Suite 1a, Clintwood, VA 24228 | 2017-06-06 |
| 1073064333 | Mountain States Health Alliance | General Acute Care Hospital | 400 N St of Franklin Rd, Johnson City, TN 37604 | 2016-10-20 |
| 1245781954 | Mountain States Health Alliance | Family Medicine | 58 Carroll St Suite 3, Dept of Russell County Medical Center, Lebanon, VA 24266 | 2016-10-18 |
| 1316322555 | Mountain States Health Alliance | General Acute Care Hospital | 81 S Flanagan Avenue, Lebanon, VA 24266-4515 | 2015-07-29 |
| 1619357928 | Mountain States Health Alliance | General Acute Care Hospital | 111 S Flannagan Avenue, Lebanon, VA 24266-4515 | 2015-06-02 |
| 1700054095 | Mountain States Health Alliance | Psychiatry & Neurology | 58 Carroll Steet, Lebanon, VA 24266 | 2008-02-20 |
| 1609054733 | Mountain States Health Alliance | Clinic/Center | 16431 Wise Street, Saint Paul, VA 24283-3537 | 2008-01-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Mountain States Health Alliance | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Virginia Business Entities | Mountain States Health Alliance | 400 N State of Franklin Rd, Johnson City, Tennessee 37604 |
| Street Address |
1410 TUSCULUM BLVD STE 1600 |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37745-4286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
| 1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
| 1770024010 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1406 East Church Street, Greeneville, TN 37745 | 2017-03-20 |
| 1336685569 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1010 Old Stage Rd, Greeneville, TN 37745 | 2017-01-11 |
| 1750635298 | Matthew Brandon Allen | Pharmacist | 515 Van Hill Rd, Greeneville, TN 37745 | 2012-11-06 |
| 1083963466 | Addison Dimartino | Optometrist | 204 Emory Dr, Greeneville, TN 37745 | 2012-08-31 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| 1477786168 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1413 Tusculum Blvd, Greeneville, TN 37745 | 2009-08-27 |
| 1043458128 | Greenville Dental Associates, Pllc | Dentist | 1308 Tusculum Blvd., Greeneville, TN 37745 | 2009-01-28 |
| 1275779555 | Professional Hearing Aid Ctr | Hearing Aid Equipment | 705 Professional Plaza, #3, Greenville, TN 37745 | 2008-12-17 |
| Find all providers in zip 37745 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427283027 | Adoration Home Health Care Virginia LLC | Home Health | 1670 W Andrew Johnson Hwy, Greeneville, TN 37745-5228 | 2009-05-26 |
| 1821126475 | Takoma Regional Hospital Inc | Home Health | 1012 Coolidge St, Greeneville, TN 37743-4610 | 2007-03-02 |
| 1013012053 | Maxim Healthcare Services Inc | Home Health | 124 Austin St, Suite 4, Greeneville, TN 37745-3953 | 2006-09-14 |
| 1962435255 | Takoma Adventist Hospital | Home Health | 1021 Coolidge St, Greeneville, TN 37743-4672 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333037 | Homefirst of Highland Rim, LLC | Home Health | 802 Keylon St Ste B, Manchester, TN 37355-2414 | 2020-10-14 |
| 1952909780 | Homefirst of Middle Tennessee, LLC | Home Health | 1101 Kermit Dr Ste 204, Nashville, TN 37217-5102 | 2020-10-14 |
| 1649885674 | Optimal Home Health & Living | Home Health | 1444 E Shelby Dr Ste 203, Memphis, TN 38116-7244 | 2020-09-15 |
| 1245844919 | Larkspur Home Care | Home Health | 3824 Northcliffe Dr, Memphis, TN 38128-5496 | 2020-09-01 |
| 1821601816 | Jones Enterprises, LLC | Home Health | 1436 Norvel Ave # A, Nashville, TN 37216-2512 | 2020-08-28 |
| 1316558398 | Safe Haven Home Healthcare LLC | Home Health | 609 Bellevue Rd N, Nashville, TN 37221-3430 | 2020-08-12 |
| 1013528348 | Virtue Community Care Inc. | Home Health | 2201 Murfreesboro Pike Ste A216, Nashville, TN 37217-3464 | 2020-08-11 |
| 1699393876 | Quality Assurance LLC | Home Health | 1565 Chariot Ln, Knoxville, TN 37918-6768 | 2020-07-14 |
| 1588282560 | Christacare, LLC | Home Health | 195 Chicken Pike, Smyrna, TN 37167-5059 | 2020-07-07 |
| 1437775053 | Prestige In Home Health Care | Home Health | 3355 Poplar Ave Ste 305, Memphis, TN 38111-4677 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
| City | GREENEVILLE |
| Zip Code | 37745 |
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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.