Healthcare Provider Details

I. General information

NPI: 1093016180
Provider Name (Legal Business Name): TAKECARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2010
Last Update Date: 11/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10908 CONCORD WOODS DR
KNOXVILLE TN
37934-5002
US

IV. Provider business mailing address

105 WOLVERINE TRL
LA VERGNE TN
37086-3812
US

V. Phone/Fax

Practice location:
  • Phone: 865-207-3356
  • Fax:
Mailing address:
  • Phone: 615-732-2615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: AKIN AKINBOSOYE
Title or Position: COO
Credential:
Phone: 615-732-2615