=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093848442
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VOLUNTEER HEALTHCARE SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/14/2007
-----------------------------------------------------
Last Update Date | 01/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3614 W ANDREW JOHNSON HWY
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37814-3602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-586-9495
-----------------------------------------------------
Fax | 423-586-9549
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3614 W ANDREW JOHNSON HWY
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37814-3602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-586-9495
-----------------------------------------------------
Fax | 423-586-9549
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | BENJAMIN LOTIVIO
-----------------------------------------------------
Credential | PT
-----------------------------------------------------
Telephone | 423-586-9495
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------