TWELVESTONE INFUSION CENTERS LLC (NPI# 1922568807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922568807 |
| Entity Type | Organization |
| Organization Name | TWELVESTONE INFUSION CENTERS LLC |
| Other Organization Name | TWELVESTONE INFUSION CENTERS LLC |
| Practice Address |
6150 Shallowford Rd Ste 102 Chattanooga TN 37421-7218 |
| Mailing Address |
352 W Northfield Blvd Ste 3c Murfreesboro TN 37129-1539 |
| Practice Telephone | 8448930012 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | ROBERT KURTZ (MANAGER OF CONTRACTING) |
| Authorized Official Telephone | 6152783385 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Twelvestone Infusion Centers LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447764857 | Twelvestone Infusion Centers LLC | Clinic/Center | 352 W Northfield Blvd Ste 3c, Murfreesboro, TN 37129-1539 | 2017-11-21 |
| Street Address |
6150 SHALLOWFORD RD STE 102 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-7218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427691245 | Precision Health Care, Inc | Clinic/Center | 7443 Commons Blvd Ste C, Chattanooga, TN 37421-2896 | 2019-10-24 |
| 1124385919 | Continuumrx, Inc. | Clinic/Center | 1501 Riverside Dr, Suite 220, Chattanooga, TN 37406-4309 | 2012-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154972818 | Precision Healthcare, Inc | Clinic/Center | 2028 W Poplar Ave Ste 113, Collierville, TN 38017-0618 | 2019-09-24 |
| 1578114237 | Precision Healthcare, Inc | Clinic/Center | 132 Maple Row Blvd Ste 540, Hendersonville, TN 37075-4786 | 2019-09-24 |
| 1649833062 | Illuminate Ketamine Center Pllc | Clinic/Center | 1936 Brookside Dr Ste E, Kingsport, TN 37660-4654 | 2019-04-22 |
| 1255815619 | Dixie Infusion Pharmacy, LLC | Clinic/Center | 311 Landrum Pl Ste 600, Clarksville, TN 37043-6319 | 2018-09-21 |
| 1851877344 | Precision Healthcare, Inc. | Clinic/Center | 2249 Sandstone Dr, Morristown, TN 37814-2593 | 2018-07-17 |
| 1245722685 | Dixie Infusion Pharmacy, LLC | Clinic/Center | 1210 Briarville Rd Ste 502, Madison, TN 37115-5141 | 2018-06-01 |
| 1447764857 | Twelvestone Infusion Centers LLC | Clinic/Center | 352 W Northfield Blvd Ste 3c, Murfreesboro, TN 37129-1539 | 2017-11-21 |
| 1346752540 | Precision Health Care, Inc | Clinic/Center | 495 Dunlop Ln Ste 115, Clarksville, TN 37040-5295 | 2017-10-27 |
| 1982123741 | Precision Health Care, Inc | Clinic/Center | 803 N Thompson Lane, Suite 101 A, Murfreesboro, TN 37129-4330 | 2017-09-13 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on TWELVESTONE INFUSION CENTERS 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.