NPI Code Details Logo

NPI 1285255703

NPI 1285255703 : COMPREHENSIVE CARE, LLC : CHATTANOOGA, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1285255703
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    COMPREHENSIVE CARE, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/06/2020
-----------------------------------------------------
    Last Update Date     |    11/27/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4413 OAKWOOD DR 
-----------------------------------------------------
    City                 |    CHATTANOOGA
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37416-2367
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-226-3412
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4413 OAKWOOD DR 
-----------------------------------------------------
    City                 |    CHATTANOOGA
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37416-2367
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-226-3412
-----------------------------------------------------
    Fax                  |    423-243-3130
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO AND PRESIDENT
-----------------------------------------------------
    Name                 |     TRACY L WOOD 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    423-805-7019
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    372600000X
-----------------------------------------------------
    Taxonomy Name        |    Adult Companion
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    374U00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Aide
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    376J00000X
-----------------------------------------------------
    Taxonomy Name        |    Homemaker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.