Basic Information
| Provider Information | |||||||||
| NPI: | 1154326254 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | UHS, INC. DBA: U.T. HOME CARE SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2200 SUTHERLAND AVE | ||||||||
| Address2: | STE 102 | ||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379192326 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8655446200 | ||||||||
| FaxNumber: | 8655446240 | ||||||||
| Practice Location | |||||||||
| Address1: | 2200 SUTHERLAND AVE | ||||||||
| Address2: | STE 102 | ||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379192326 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8655446200 | ||||||||
| FaxNumber: | 8655446240 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | COLLINS | ||||||||
| AuthorizedOfficialFirstName: | RON | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8655446200 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 0000000156 | TN | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 3020424 | 05 | TN | MEDICAID | 60411 | 01 | TN | UNITED HEALTHCARE | OTHER | 0007751021 | 01 | TN | AETNA | OTHER | 3020424 | 01 | TN | BLUE CROSS | OTHER |