Healthcare Provider Details

I. General information

NPI: 1487068136
Provider Name (Legal Business Name): CAMM CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2014
Last Update Date: 02/16/2022
Certification Date: 02/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 OAK RIDGE TPKE STE C260
OAK RIDGE TN
37830-6947
US

IV. Provider business mailing address

800 OAK RIDGE TPKE STE C260
OAK RIDGE TN
37830-6947
US

V. Phone/Fax

Practice location:
  • Phone: 186-546-6757
  • Fax: 865-234-7020
Mailing address:
  • Phone: 865-234-7007
  • Fax: 865-234-7020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberI000000014383
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. BARBARA MEGAN MULLINS
Title or Position: CAO
Credential:
Phone: 865-234-7007