Miyang Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MIYANG HOME CARE LLC

Practice address

928 Roderick Rd
Knoxville, TN 37923-1641

Phone

(865) 333-0574

Fax

(865) 312-5802

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Miiyang Sin

Title

Director/Owner

Phone

(865) 333-0574

Specialties & licenses 1

Addresses

Other names 1

• Acti-Kare Responsive In-Home Care Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1275163073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 RODERICK RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379231641",
            "telephone_number": "865-333-0574",
            "fax_number": "865-312-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 RODERICK RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379231641",
            "telephone_number": "865-333-0574",
            "fax_number": "865-312-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIYANG HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "SIN",
        "authorized_official_first_name": "MIIYANG",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "865-333-0574"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://actikare.com/knoxville/",
            "affiliation": "Y",
            "address_1": "17425 Bridge Hill Ct Ste 200",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336473657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Acti-Kare Responsive In-Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Justin Mixon
• Melanie Coleen Mixon, PNP
• Nancy Leanne Mixon, FNP-BC
• William Robert Mixon, MD
• Emma Lynn Miyamoto
• Jennifer Walker Mize, MA,CCC/SLP
• Logan Mize
• Mary Leah Mizer, PT
• Emma Mizzell, BSSW
• MJ Mental Health, LLC

• In Home Supportive Care Agency in Knoxville, TN
• Providers in Knoxville, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.