Individual provider Active NPI

Andrew Millan

  • In Home Supportive Care Agency
  • Chattanooga, TN
National Provider Identifier
1013210335
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
L000000007605 Issued in TN
Practice address
3001 Broad St
Suite# 202
Chattanooga, TN 37408-3027
Phone
(423) 648-1609
Fax
(423) 648-1610
NPI assigned
Dec 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X L000000007605 TN Primary

Addresses

Primary practice location

3001 Broad St
Suite# 202
Chattanooga, TN 37408-3027

Mailing address

3001 Broad St
Suite# 202
Chattanooga, TN 37408-3027
Phone (423) 648-1609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L000000007605TNMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Arkridge Homecare LLC In Home Supportive Care Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1013210335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 BROAD ST",
            "address_2": "SUITE# 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374083027",
            "telephone_number": "423-648-1609",
            "fax_number": "423-648-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BROAD ST",
            "address_2": "SUITE# 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374083027",
            "telephone_number": "423-648-1609",
            "fax_number": "423-648-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAN",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-08",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000007605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.