MEDICARE: EAST TENNESSEE CHILDRENS HOSPITAL ASSOCIATION 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	0000000132	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952407652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST TENNESSEE CHILDRENS HOSPITAL ASSOCIATION INC

Provider Business Mailing Address
First Line	:	1227 WEST POINT DRIVE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37934
Country	:	US
Telephone Number	:	865-675-8181
Fax Number	:	865-675-8111

Provider Business Practice Location Address
First Line	:	11227 W POINT DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37934-2838
Country	:	US
Telephone Number	:	865-675-8181
Fax Number	:	865-675-8111

Authorized Official
Title or Position	:	DIRECTOR CHILDREN'S HOME HEALTH
Name	:	DARLA C ARNOLD
Credential	:	RN BSN
Telephone Number	:	865-675-8181

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	04/07/2022

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