FOOTHILLS ADULT CARE ENRICHMENT SERVICES (NPI# 1275907222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275907222 |
| Entity Type | Organization |
| Organization Name | FOOTHILLS ADULT CARE ENRICHMENT SERVICES |
| Other Organization Name | ADULT LIFE CENTERS AND INDEPENDENCE SERVICES |
| Practice Address |
1732 W Broadway Ave Maryville TN 37801-5510 |
| Practice Telephone | 8659808023 |
| Mailing Telephone | 8659808023 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |
| Authorized Official Name | MRS. AUNDREA MARIE SCHOLEM (OWNER/ DIRECTORS) |
| Authorized Official Telephone | 8659808023 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 00D6T | TN | Agencies |
| Other Name | Type Code |
|---|---|
| Adult Life Centers and Independence Services | Former Legal Business Name - Organization |
| Street Address |
1732 W BROADWAY AVE |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801-5510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326007592 | Lloyd Alton Tantum | Optometrist | 1732 W Broadway Ave, Maryville, TN 37801-5510 | 2006-03-17 |
| 1326422130 | Cassandra Bruno | Optometrist | 1732 W Broadway Ave, Maryville, TN 37801-5510 | 2015-07-13 |
| 1316350291 | William Tantum | Optometrist | 1732 W Broadway Ave, Maryville, TN 37801-5510 | 2014-06-09 |
| 1699961631 | Blount County Eye Center, Pllc | Optometrist | 1732 W Broadway Ave, Maryville, TN 37801-5510 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| Find all providers in zip 37801 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593082 | Simplylove Care Inc | Day Training, Developmentally Disabled Services | 8920 Macauley Ln, Nolensville, TN 37135-4013 | 2020-09-21 |
| 1588282628 | Emma Wedley | Day Training, Developmentally Disabled Services | 2855 Stage Village Cv Ste 8, Bartlett, TN 38134-4616 | 2020-07-06 |
| 1376008011 | Excel Centers of America, LLC | Day Training, Developmentally Disabled Services | 2855 Stage Village Cv Ste 7, Bartlett, TN 38134-4616 | 2019-02-06 |
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1134617350 | Golden Moments Home Care, LLC | Day Training, Developmentally Disabled Services | 201 Airways Blvd, Jackson, TN 38301-5800 | 2018-04-24 |
| 1316449366 | Don A Hunt-ford Jr. | Day Training, Developmentally Disabled Services | 2016 Angel Way, Forney, TN 75126 | 2018-03-06 |
| 1013462050 | C.s. Patterson Training & Habilitation Center, Inc. | Day Training, Developmentally Disabled Services | 1284 Us Highway 45 Byp N, Trenton, TN 38382-4005 | 2016-08-19 |
| 1104287861 | Adult Community Training Inc. | Day Training, Developmentally Disabled Services | 5410 Highway 321 N, Lenoir City, TN 37771-7540 | 2016-03-09 |
| 1851762819 | Lydia Hodge | Day Training, Developmentally Disabled Services | 5705 Stage Rd Ste 200, Bartlett, TN 38134-4511 | 2015-10-15 |
| 1154714335 | Triumph Care, LLC | Day Training, Developmentally Disabled Services | 1161 Murfreesboro Pike Ste 132, Nashville, TN 37217-2225 | 2015-03-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.