MEDICARE: SPECIAL CARE AGENCY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	P 438-026-9900	TN
2	376K00000X	Nurse's Aide	P 438-026-9900	TN

General Provider Information

NPI Number	:	1073600292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIAL CARE AGENCY

Provider Business Mailing Address
First Line	:	1532 LA PALOMA DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-1440
Country	:	US
Telephone Number	:	865-531-8522
Fax Number	:	865-531-8522

Provider Business Practice Location Address
First Line	:	1532 LA PALOMA DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-1440
Country	:	US
Telephone Number	:	865-531-8522
Fax Number	:	865-531-8522

Authorized Official
Title or Position	:	OWNER / OPERATOR
Name	:	MRS. MARY HELLEN CALLOWAY-BUNCH-NORMAN
Credential	:	CNA
Telephone Number	:	865-531-8522

Provider Enumeration Date	:	10/08/2006
Last Update Date	:	09/11/2025

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1346196433 — EMILY HOWELL
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1902797319 — HEATHER SHOFFNER
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Directions to “SPECIAL CARE AGENCY ” Practice Location

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