Provider Demographics
NPI:1568211183
Name:MODERN CAREGIVERS
Entity type:Organization
Organization Name:MODERN CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-391-7496
Mailing Address - Street 1:5493 HIGHWAY 11 E STE 2
Mailing Address - Street 2:
Mailing Address - City:PINEY FLATS
Mailing Address - State:TN
Mailing Address - Zip Code:37686-4494
Mailing Address - Country:US
Mailing Address - Phone:423-391-7496
Mailing Address - Fax:423-391-7426
Practice Address - Street 1:5493 HIGHWAY 11 E STE 2
Practice Address - Street 2:
Practice Address - City:PINEY FLATS
Practice Address - State:TN
Practice Address - Zip Code:37686-4494
Practice Address - Country:US
Practice Address - Phone:423-391-7496
Practice Address - Fax:423-391-7426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)