Active NPI
Isad
- In Home Supportive Care Agency
- Knoxville, TN
National Provider Identifier
1689411290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ISAD
- Practice address
- 10929 Topview LN
Knoxville, TN 37934-7081 - Phone
- (865) 973-1312
- NPI assigned
- Jul 10, 2024
- Last updated
- Jul 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wayne Bediako
- Title
- Ceo
- Phone
- (865) 236-6499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
10929 Topview LN
Knoxville, TN 37934-7081
Mailing address
10929 Topview LN
Knoxville, TN 37934-7081
Phone (865) 973-1312
Other names 1
- ISAD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1689411290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10929 TOPVIEW LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379347081",
"telephone_number": "865-973-1312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10929 TOPVIEW LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379347081",
"telephone_number": "865-973-1312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISAD",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "BEDIAKO",
"authorized_official_first_name": "WAYNE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "865-236-6499"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ISAD",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.