Organization
INDEPENDENT LIVING SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA ANNELLE DAVENPORT (COO)
(423) 268-4383
Entity
Organization
Contact information
Practice address
4504 BRISTOL HWY STE 115, JOHNSON CITY, TN 37601
(423) 915-0023
(423) 915-0021
Mailing address
4504 BRISTOL HWY STE 115, JOHNSON CITY, TN 37601
(423) 915-0023
(423) 915-0021
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L000000004327
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017622
—
TN
Enumeration date
02/11/2010
Last updated
02/26/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us