HEALING FORMS (NPI# 1699750414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699750414 |
| Entity Type | Organization |
| Organization Name | HEALING FORMS |
| Practice Address |
60 Long Ave Parsons TN 38363-2429 |
| Practice Telephone | 7318473676 |
| Practice Fax Number | 7318473296 |
| Mailing Telephone | 7318473676 |
| Mailing Fax Number | 7318473296 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIANA MONTGOMERY (OWNER) |
| Authorized Official Telephone | 7318473676 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
60 LONG AVE |
| City | PARSONS |
| State | TN |
| Zip Code | 38363-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336148808 | Diana Lynn Montgomery | Orthotic Fitter | 60 Long Ave, Parsons, TN 38363-2429 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689183196 | Tennessee Quality Homecare, Inc. | Homemaker | 1971 Tennessee Avenue North, Parsons, TN 38363 | 2017-09-27 |
| 1063805968 | Green Crest Assisted Living Centers, Inc. | Assisted Living Facility | 55 Herbert Volner Lane, Parsons, TN 38363 | 2015-03-17 |
| 1538338637 | Anita Ann Gratton | Physical Medicine & Rehabilitation | 969 Tn Ave South, Parsons, TN 38363 | 2008-02-22 |
| 1467561258 | Rehab America Inc | Clinic/Center | 59 Central Ln, Box 397, Parsons, TN 38363 | 2006-08-29 |
| 1972610087 | Amy Johnson Hosea | Occupational Therapist | 135 Jordan Lane, Parsons, TN 38363 | 2006-08-24 |
| 1669495883 | Ammed Inc | Durable Medical Equipment & Medical Supplies | 135 Jordan Ln, Parsons, TN 38363 | 2006-07-26 |
| 1447278221 | Ampharm, Inc. | Pharmacy | 1971 Tennessee Ave N, Parsons, TN 38363 | 2006-07-18 |
| 1396702536 | Tennessee Valley Home Care, Inc. | Home Health | 580 Tennessee Ave N, Parsons, TN 38363 | 2006-05-01 |
| 1811952674 | Decatur County Health Care and Rehabilitation Inc | Nursing Facility/Intermediate Care Facility | 726 Kentucky Ave S, Parsons, TN 38363 | 2006-04-17 |
| 1073587283 | Lisa K Medlin | Nurse Practitioner | 50 Skyline Lane, Parsons, TN 38363 | 2006-02-14 |
| Find all providers in zip 38363 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100990 | Porsche Vaughn | Prosthetic/Orthotic Supplier | 2203 Clarksville Pike, Nashville, TN 37208-1053 | 2020-09-24 |
| 1245845148 | Hopeful Strands LLC | Prosthetic/Orthotic Supplier | 5852 Sunny Morning Dr, Memphis, TN 38141 | 2020-09-09 |
| 1134737562 | Carefluent Connect, LLC | Prosthetic/Orthotic Supplier | 60 Athlete's Way N, Suite 300, Mt Juliet, TN 37122-4440 | 2020-07-22 |
| 1609484450 | Crowned By Court Rx | Prosthetic/Orthotic Supplier | 6339 Charlotte Pike # 928, Nashville, TN 37209-2926 | 2020-07-17 |
| 1558982868 | Kcb Medical Wigs | Prosthetic/Orthotic Supplier | 4246 Hillgate Cv, Memphis, TN 38118-6739 | 2020-04-28 |
| 1154955268 | A Step Ahead Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1415 Old Weisgarber Rd Ste 360, Knoxville, TN 37909-1327 | 2020-02-27 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1841834322 | Southern Orthocare, Inc | Prosthetic/Orthotic Supplier | 11440 Parkside Dr Ste 304, Knoxville, TN 37934-2662 | 2019-10-29 |
| 1366901779 | Vascular and Vein Institute of The South, Pllc | Prosthetic/Orthotic Supplier | 6029 Walnut Grove Rd Ste 109, Memphis, TN 38120-2112 | 2019-03-15 |
| 1043775745 | Restorative Health Services, Inc | Prosthetic/Orthotic Supplier | 103 N Willow Ave, Cookeville, TN 38501-2369 | 2019-02-06 |
| 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.