TAKOMA ADVENTIST HOSPITAL (NPI# 1962435255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962435255 |
| Entity Type | Organization |
| Organization Name | TAKOMA ADVENTIST HOSPITAL |
| Other Organization Name | TAKOMA HOME HEALTH SERVICES |
| Practice Address |
1021 Coolidge St Greeneville TN 37743-4672 |
| Practice Telephone | 4236360700 |
| Practice Fax Number | 4236360706 |
| Mailing Telephone | 4236360700 |
| Mailing Fax Number | 4236360706 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BLIN RICHARDS (CFO) |
| Authorized Official Telephone | 4236393151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 00000000-86 | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TENNCARE SELECT | 153116 | 01 |
| TN | HUMANA INS GOLD CHC MCR | 447417 | 01 |
| TN | PHP COMPANIES | 447417 | 01 |
| TN | BLUE CARE/BLUE SHIELD | 0153116 | 01 |
| TN | STERLING LIFE MCR | 447417 | 01 |
| TN | AETNA | 0007714697 | 01 |
| TN | CARITEN SENIOR HLTH MCR | 447417 | 01 |
| TN | UNITED HEALTHCARE | 447417 | 01 |
| TN | JOHN DEERE HLTH MCR | 447417 | 01 |
| TN | JOHN DEER TENNCARE | 447417 | 01 |
| Other Name | Type Code |
|---|---|
| Takoma Home Health Services | Doing Business As Name - Organization |
| Street Address |
1021 COOLIDGE ST |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37743-4672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922000157 | Leon Cochran | Internal Medicine | 1021 Coolidge St, Suite 4, Greeneville, TN 37743-4672 | 2005-06-01 |
| 1215295324 | Amber Nicole Mullins | Obstetrics & Gynecology | 1021 Coolidge St, Suite 2, Greeneville, TN 37743-4672 | 2012-04-26 |
| 1215210943 | Randall Blake Bible | Nurse Practitioner | 1021 Coolidge St, Suite 3, Greeneville, TN 37743-4672 | 2011-09-20 |
| 1811209620 | Jami Nacole Goodwin | Obstetrics & Gynecology | 1021 Coolidge St, Suite 2, Greeneville, TN 37743-4672 | 2010-07-09 |
| 1043404601 | Howard E Herrell | Obstetrics & Gynecology | 1021 Coolidge St, Suite 2, Greeneville, TN 37743-4672 | 2007-08-28 |
| 1497837132 | Harry Charles Nelson | Obstetrics & Gynecology | 1021 Coolidge St, Suite 2, Greeneville, TN 37743-4672 | 2006-10-20 |
| 1427130178 | Jeannette A. Lively | Midwife | 1021 Coolidge St, Suite 2, Greeneville, TN 37743-4672 | 2006-10-20 |
| 1053402701 | Women's Center of Greeneville, PC | Specialist | 1021 Coolidge St, Suite 2, Greeneville, TN 37743-4672 | 2006-09-27 |
| 1740293596 | Bruce Berry | Preventive Medicine | 1021 Coolidge St, Suite 4, Greeneville, TN 37743-5986 | 2006-08-14 |
| 1598775876 | Anne Thompson | Family Medicine | 1021 Coolidge St, Suite 4, Greeneville, TN 37743-4672 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1205264058 | Robert Maddox | Social Worker | 421 5th Ave North, Employee Health Clinic, 2nd Floor Central Services Bldg, Nashville, TN 37743 | 2013-10-14 |
| 1336574326 | Cathy J Davis | Occupational Therapy Assistant | 910 West Summer Street, Greeneville, TN 37743 | 2013-09-09 |
| 1659614238 | Person Centered Choices, LLC | In Home Supportive Care | 615 W. Main St., Ste. 204, Greeneville, TN 37743 | 2013-04-01 |
| 1730449943 | Jenilee Stepp | Behavioral Analyst | 1007 West Main Suite B, Greenville, TN 37743 | 2012-05-22 |
| 1083971303 | Jessica Allison Mcafee | Registered Nurse | 401 Takoma Ave., Suite 1, Second Floor, Greeneville, TN 37743 | 2012-04-12 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1215200118 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2495 Buckingham Road, Greeneville, TN 37743 | 2012-02-23 |
| Find all providers in zip 37743 | ||||
| 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 |
| 1396717963 | Mountain States Health Alliance | Home Health | 1410 Tusculum Blvd Ste 1600, Greeneville, TN 37745-4286 | 2006-02-07 |
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|---|---|---|---|---|
| 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 | 37743 |
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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.