SQUARE ONE RESTORATIVE HEALTH – NPI #1558884254
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SQUARE ONE RESTORATIVE HEALTH is a provider located in KNOXVILLE, TN. NPPES has assigned the NPI number 1558884254 to SQUARE ONE RESTORATIVE HEALTH on July 25, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SQUARE ONE RESTORATIVE HEALTH” is a dba name, the actual legal business name for this organization is JCK HOLDINGS LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SQUARE ONE RESTORATIVE HEALTH below.

NPI Profile for
JCK HOLDINGS LLC

NPI Number
1558884254
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JCK HOLDINGS LLC
Doing Business As (dba): SQUARE ONE RESTORATIVE HEALTH
Primary location
2270 SUTHERLAND AVENUE
KNOXVILLE, TN 37919
Phone: (865) 219-5926 Fax: (865) 951-2972
Mailing address
2270 SUTHERLAND AVE
KNOXVILLE, TN 37919-2331
Phone: (865) 219-5926 Fax: (865) 951-2972
Organization Subpart
No
Authorized Official
BRENDA MCCLOUD
ADMINISTRATOR
Phone: (865) 219-5926
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.