1538436654 NPI number — GRACE & MERCY ELDERLY CARE, INC

Table of content: (NPI 1538436654)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538436654 NPI number — GRACE & MERCY ELDERLY CARE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GRACE & MERCY ELDERLY CARE, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538436654
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5732 WOODBOURNE COURT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEMPHIS
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38115-6114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-649-0844
Provider Business Mailing Address Fax Number:
901-363-8869

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2506 MOUNT MORIAH RD STE B459
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38115-1511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-649-0844
Provider Business Practice Location Address Fax Number:
662-932-8300
Provider Enumeration Date:
11/17/2011

Additional Information

Authorized Official

Authorized Official Last Name:
DIXON
Authorized Official First Name:
TONYA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
901-649-0844

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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