Provider Demographics
NPI:1164187506
Name:PAIDION, LLC
Entity type:Organization
Organization Name:PAIDION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NYCOLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:DONELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-252-7270
Mailing Address - Street 1:6978 LEBANON RD STE D
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-7201
Mailing Address - Country:US
Mailing Address - Phone:615-252-7270
Mailing Address - Fax:615-224-8188
Practice Address - Street 1:6978 LEBANON RD STE D
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-7201
Practice Address - Country:US
Practice Address - Phone:615-252-7270
Practice Address - Fax:615-252-7270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000000OtherNOT APPLICABLE
TNQ072396Medicaid