Healthcare Provider Details

I. General information

NPI: 1760547897
Provider Name (Legal Business Name): FOOTHILLS CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

663 EMORY VALLEY RD
OAK RIDGE TN
37830-7762
US

IV. Provider business mailing address

663 EMORY VALLEY RD
OAK RIDGE TN
37830-7762
US

V. Phone/Fax

Practice location:
  • Phone: 865-483-9111
  • Fax: 865-483-9102
Mailing address:
  • Phone: 865-483-9111
  • Fax: 865-483-9102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberL 214-026-1223
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberL 214-026-1223
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL 214-026-1223
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberL 214-026-1223
License Number StateTN
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberL 214-026-1223
License Number StateTN

VIII. Authorized Official

Name: JAMES PEDIGO
Title or Position: PRESIDENT
Credential:
Phone: 865-483-9111