Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Etlog Management Service

Organization Case Management Agency · NPI 1932750189

Etlog Management Service is a Case Management Agency in Kingsport, Tennessee. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
11

Practice location Address checks out

1005 Carrington Ct
Kingsport, TN 37660-5694
Phone: (423) 677-7040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X
Case Management Agency Taxonomy 251B00000X
Nursing Care Agency Taxonomy 251J00000X
Primary Care Clinic/Center Taxonomy 261QP2300X
Mobile Radiology Clinic/Center Taxonomy 261QR0208X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Rural Health Clinic/Center Taxonomy 261QR1300X
Urgent Care Clinic/Center Taxonomy 261QU0200X
VA Clinic/Center Taxonomy 261QV0200X
Clinical Medical Laboratory Taxonomy 291U00000X
Children's Substance Abuse Rehabilitation Facility Taxonomy 3245S0500X

Record details

NPI number1932750189
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEtlog Management Service
Authorized official Yaw Otchere-Boateng — Ceo · (423) 677-7040
Other names Hhomecare
NPI enumeratedSeptember 27, 2019
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 4, 2020
Mailing address1005 Carrington Ct, Kingsport, TN 37660-5694

Other providers in Kingsport