Provider Demographics
NPI:1275163073
Name:MIYANG HOME CARE LLC
Entity Type:Organization
Organization Name:MIYANG HOME CARE LLC
Other - Org Name:ACTI-KARE RESPONSIVE IN-HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIIYANG
Authorized Official - Middle Name:
Authorized Official - Last Name:SIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-333-0574
Mailing Address - Street 1:928 RODERICK RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-1641
Mailing Address - Country:US
Mailing Address - Phone:865-333-0574
Mailing Address - Fax:865-312-5802
Practice Address - Street 1:928 RODERICK RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-1641
Practice Address - Country:US
Practice Address - Phone:865-333-0574
Practice Address - Fax:865-312-5802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care