THOMAS O HENLEY (NPI# 1689763468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689763468 |
| Entity Type | Organization |
| Organization Name | THOMAS O HENLEY |
| Practice Address |
1090 Mccallie Avenue Chattanooga TN 37404 |
| Practice Telephone | 4236984200 |
| Practice Fax Number | 4236298810 |
| Mailing Telephone | 4236984200 |
| Mailing Fax Number | 4236298810 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | MR. THOMAS OTIS HENLEY (CEO OWNER) |
| Authorized Official Telephone | 4236984200 |
| Authorized Official Credential | ATP, RRTS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0000000482 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TENNCARE BLUECARE | 0082678 | 01 |
| TN | BLUE CROSS BLUE SHIELD TN | 0082678 | 01 |
| GA | 00528316A | 05 |
| Street Address |
1090 MCCALLIE AVENUE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205461365 | Vibrant Life Health & Wellness | Durable Medical Equipment & Medical Supplies | 7633 E Brainerd Rd, Chattanooga, TN 37421-3290 | 2020-03-10 |
| 1497380471 | Awb Inc | Durable Medical Equipment & Medical Supplies | 2001 N Chamberlain Ave # 188, Chattanooga, TN 37406-3808 | 2020-03-10 |
| 1033767363 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 6138 Preservation Dr Ste 100, Chattanooga, TN 37416-3695 | 2019-08-29 |
| 1720549017 | Mockingbird Dme LLC | Durable Medical Equipment & Medical Supplies | 200 W Martin Luther King Blvd Ste 1000, Chattanooga, TN 37402-2571 | 2019-03-28 |
| 1356815633 | Your Choice Medical, LLC | Durable Medical Equipment & Medical Supplies | 4819 Highway 58 Ste 113, Chattanooga, TN 37416-1869 | 2019-01-19 |
| 1083188361 | United Health Services, LLC | Durable Medical Equipment & Medical Supplies | 5932 Pine Grove Trl Ste 101, Chattanooga, TN 37421-3503 | 2019-01-19 |
| 1538632005 | Mcm Rehabilitation LLC | Durable Medical Equipment & Medical Supplies | 1515 Gunbarrel Rd Ste 129, Chattanooga, TN 37421-0001 | 2019-01-08 |
| 1639647068 | Opal Fox, Inc. | Durable Medical Equipment & Medical Supplies | 5113 Highway 58 Ste 208, Chattanooga, TN 37416-1666 | 2018-11-03 |
| 1275001604 | Range of Motion Medical, Inc | Durable Medical Equipment & Medical Supplies | 5113 Highway 58 Ste 211, Chattanooga, TN 37416-1666 | 2018-11-03 |
| 1891263224 | Titan Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 5113 Highway 58 Ste 215, Chattanooga, TN 37416-1666 | 2018-11-03 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
Please comment or provide details below to improve the information on THOMAS O HENLEY.
| 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.