Provider Demographics
NPI:1053313833
Name:CARR REHAB INC
Entity type:Organization
Organization Name:CARR REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-546-2386
Mailing Address - Street 1:746 N HALL OF FAME DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-6721
Mailing Address - Country:US
Mailing Address - Phone:865-546-2386
Mailing Address - Fax:865-546-2598
Practice Address - Street 1:746 N HALL OF FAME DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-6721
Practice Address - Country:US
Practice Address - Phone:865-546-2386
Practice Address - Fax:865-546-2598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000677332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0124267OtherBLUE CROSS OF TN - DME
TN3560673Medicaid
TN3560673Medicaid