MEDICARE: ALL CARE PLUS INC.

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	287	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4066368	OTHER	TN	BLUE CROSS BLUE SHIELD TN

General Provider Information

NPI Number	:	1629073614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL CARE PLUS INC.

Provider Business Mailing Address
First Line	:	PO BOX 697
Second Line	:
City	:	JAMESTOWN
State	:	TN
Zip	:	38556-0697
Country	:	US
Telephone Number	:	931-879-8494
Fax Number	:	931-879-0224

Provider Business Practice Location Address
First Line	:	101 DUNCAN STREET
Second Line	:
City	:	JAMESTOWN
State	:	TN
Zip	:	38556
Country	:	US
Telephone Number	:	931-879-8494
Fax Number	:	931-879-0224

Authorized Official
Title or Position	:	CFO
Name	:	MR. JOEL L ROSS
Credential	:	CPA
Telephone Number	:	931-879-8494

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/22/2020

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Directions to “ALL CARE PLUS INC. ” Practice Location

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