MEDICARE: SPECIAL CARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	L438-028-2281	TN

General Provider Information

NPI Number	:	1417281189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIAL CARE INC.

Provider Business Mailing Address
First Line	:	1532 LA PALOMA DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-1440
Country	:	US
Telephone Number	:	865-531-8522
Fax Number	:	865-690-6110

Provider Business Practice Location Address
First Line	:	1532 LA PALOMA DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-1440
Country	:	US
Telephone Number	:	865-531-8522
Fax Number	:	865-690-6110

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MRS. MARY HELLEN CALLOWAY-NORMAN
Credential	:	CNA/CST
Telephone Number	:	865-531-8522

Provider Enumeration Date	:	09/28/2009
Last Update Date	:	09/28/2009

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Directions to “SPECIAL CARE INC. ” Practice Location

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