ETLOG MANAGEMENT SERVICE NPI 1932750189

NPI Information

  • NPI: 1932750189
  • Provider Name: ETLOG MANAGEMENT SERVICE
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Doing Business As: HHOMECARE
  • Address: 1005 CARRINGTON CT
    KINGSPORT, TN
    ZIP 37660
  • Phone: (423) 677-7040

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NPI Details

ETLOG MANAGEMENT SERVICE is a health service clinic center in Kingsport, TN. ETLOG MANAGEMENT SERVICE NPI is 1932750189. The provider is registered as an organization entity type.
The provider Is Doing Business As Hhomecare.

The provider's business location address is:

1005 CARRINGTON CT
KINGSPORT, TN
ZIP 37660-694
Phone: (423) 677-7040

The provider's authorized official is Yaw Otchere-boateng .
The authorized official title is Ceo and has the following contact phone number (423) 677-7040.

The enumeration date for this NPI number is 9/27/2019 and was last updated on 9/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
2261QV0200XClinic/CenterVANo
3291U00000XClinical Medical LaboratoryNo
4251B00000XCase ManagementNo
5251J00000XNursing CareNo
6261QP2300XClinic/CenterPrimary CareNo
7261QR0208XClinic/CenterRadiology, MobileNo
8261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
9261QR1300XClinic/CenterRural HealthNo
10261QU0200XClinic/CenterUrgent CareNo
11261QH0100XClinic/CenterHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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