Provider Demographics
NPI:1093016180
Name:TAKECARE SERVICES
Entity Type:Organization
Organization Name:TAKECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:AKIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINBOSOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-732-2615
Mailing Address - Street 1:105 WOLVERINE TRL
Mailing Address - Street 2:
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-3812
Mailing Address - Country:US
Mailing Address - Phone:615-732-2615
Mailing Address - Fax:
Practice Address - Street 1:10908 CONCORD WOODS DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-5002
Practice Address - Country:US
Practice Address - Phone:865-207-3356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GIZMOSEARCH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No172A00000XOther Service ProvidersDriverGroup - Single Specialty
No251E00000XAgenciesHome Health
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No347E00000XTransportation ServicesTransportation Broker