Organization Active NPI

Aideside Home Healthcare

  • In Home Supportive Care Agency
  • Knoxville, TN
National Provider Identifier
1851859441
Registry record updated Mar 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AIDESIDE HOME HEALTHCARE
Practice address
705 Gate LN Ste 202
Knoxville, TN 37909-3521
Phone
(865) 294-0059
Fax
(865) 315-7021
NPI assigned
Mar 4, 2019
Last updated
Mar 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2019

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

Authorized official

Name
Mr. Keelin Jafari Brown
Title
Ceo
Phone
(865) 419-0047

Specialties & licenses 1

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

Addresses

Primary practice location

705 Gate LN Ste 202
Knoxville, TN 37909-3521

Mailing address

705 Gate LN Ste 202
Knoxville, TN 37909-3521
Phone (865) 419-0047

Other identifiers 1

IdentifierTypeStateIssuer
1851859441OtherTNSUPPORTIVE SERVICES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552694400000",
    "number": "1851859441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GATE LN STE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093521",
            "telephone_number": "865-419-0047",
            "fax_number": "865-315-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GATE LN STE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093521",
            "telephone_number": "865-294-0059",
            "fax_number": "865-315-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDESIDE HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEELIN",
        "authorized_official_middle_name": "JAFARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-419-0047",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPORTIVE SERVICES",
            "identifier": "1851859441",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 16, 2019; 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.