Organization Active NPI

Affordable-Assist Private Care

  • In Home Supportive Care Agency
  • Crossville, TN
National Provider Identifier
1346959723
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AFFORDABLE-ASSIST PRIVATE CARE
Practice address
716 Mockingbird Dr
Crossville, TN 38555-5836
Phone
(931) 200-1399
NPI assigned
Nov 15, 2022
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Tonya Regan
Title
Ceo
Phone
(931) 200-1399

Specialties & licenses 1

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

Addresses

Primary practice location

716 Mockingbird Dr
Crossville, TN 38555-5836

Mailing address

716 Mockingbird Dr
Crossville, TN 38555-5836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250616001882 TN Part B Supplier - Clinic/Group Practice 8022529270 Receives reassigned benefits from 1 practitioner
Practice locations: Crossville, TN

National Provider Directory

National Provider Directory

Locations

236 Miller Ave
Crossville, TN 38555
Phone (931) 200-3058

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1346959723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 MOCKINGBIRD DR",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 MOCKINGBIRD DR",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555836",
            "telephone_number": "931-200-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE-ASSIST PRIVATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-200-1399"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.