Healthcare Provider Details

I. General information

NPI: 1033402854
Provider Name (Legal Business Name): AGING IN PLACE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2011
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 W ELK AVE
ELIZABETHTON TN
37643-2614
US

IV. Provider business mailing address

360 W ELK AVE
ELIZABETHTON TN
37643-2614
US

V. Phone/Fax

Practice location:
  • Phone: 423-232-7730
  • Fax: 888-356-0410
Mailing address:
  • Phone: 423-232-7730
  • Fax: 888-356-0410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberI000000005876
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSICA RATCLIFF
Title or Position: CFO
Credential:
Phone: 423-232-7730