Healthcare Provider Details

I. General information

NPI: 1285255703
Provider Name (Legal Business Name): COMPREHENSIVE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2020
Last Update Date: 11/27/2023
Certification Date: 08/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4413 OAKWOOD DR
CHATTANOOGA TN
37416-2367
US

IV. Provider business mailing address

4413 OAKWOOD DR
CHATTANOOGA TN
37416-2367
US

V. Phone/Fax

Practice location:
  • Phone: 423-226-3412
  • Fax:
Mailing address:
  • Phone: 423-226-3412
  • Fax: 423-243-3130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: TRACY L WOOD
Title or Position: CEO AND PRESIDENT
Credential:
Phone: 423-805-7019