Healthcare Provider Details

I. General information

NPI: 1245212729
Provider Name (Legal Business Name): KNOXVILLE HMA HOMECARE DME & HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 07/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 MERCHANT DR SUITE D
KNOXVILLE TN
37912-3547
US

IV. Provider business mailing address

PO BOX 689022
FRANKLIN TN
37068-9022
US

V. Phone/Fax

Practice location:
  • Phone: 865-647-3700
  • Fax: 865-647-3749
Mailing address:
  • Phone: 615-465-7000
  • Fax: 615-465-3007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0000000676
License Number StateTN

VIII. Authorized Official

Name: SOPHIA ARWOOD
Title or Position: DIRECTOR
Credential:
Phone: 615-628-6038