MEDICARE: KAH DEVELOPMENT 8, LLC

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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1124470588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAH DEVELOPMENT 8, LLC

Provider Business Mailing Address
First Line	:	PO BOX 4060
Second Line	:
City	:	MOORESVILLE
State	:	NC
Zip	:	28117-4060
Country	:	US
Telephone Number	:	704-664-2876
Fax Number	:	704-664-1306

Provider Business Practice Location Address
First Line	:	3855 OCOEE ST N STE 200
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-4457
Country	:	US
Telephone Number	:	423-458-6455
Fax Number	:	423-728-1915

Authorized Official
Title or Position	:	VP OF REGULATORY COUNSEL
Name	:	JENNIFER TYLER
Credential	:
Telephone Number	:	678-449-0446

Provider Enumeration Date	:	07/11/2016
Last Update Date	:	06/15/2026

Similar Medicare Providers

1679425557 — JENNA HARTMANN NP
Practice Location Address:

3855 OCOEE ST N FL 4
CLEVELAND, TN
37312-4457

Practice Phone: 423-464-4357
Practice Fax:

1003573965 — SARAH MALANOWSKI LCSW
Practice Location Address:

3855 OCOEE ST N FL 4
CLEVELAND, TN
37312-4457

Practice Phone: 888-291-4357
Practice Fax:

1861327447 — TARA LANETTE HENLEY LPN
Practice Location Address:

3575 KEITH ST NW
CLEVELAND, TN
37312-4324

Practice Phone: 833-979-0356
Practice Fax:

1376478859 — PARKRIDGE MEDICAL CENTER, INC.
Practice Location Address:

1855 EXECUTIVE PARK NW
CLEVELAND, TN
37312-2715

Practice Phone: 423-472-1999
Practice Fax:

1932034006 — LILLIAN MOONEY DDS
Practice Location Address:

413 BERYWOOD TRL NW
CLEVELAND, TN
37312-5285

Practice Phone: 423-478-3756
Practice Fax:

1447955455 — CAMARA PRICHARD DO
Practice Location Address:

1060 PEERLESS XING NW
CLEVELAND, TN
37312-3784

Practice Phone: 423-339-5656
Practice Fax: 423-339-8889

Directions to “KAH DEVELOPMENT 8, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.