1598347551 NPI number — MY CARING HANDS,LLC

Table of content: (NPI 1598347551)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598347551 NPI number — MY CARING HANDS,LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MY CARING HANDS,LLC
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:
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:
1598347551
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/28/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6000 POPLAR AVE STE 250
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:
38119-3974
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-356-1234
Provider Business Mailing Address Fax Number:
662-874-5850

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6000 POPLAR AVE STE 250
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:
38119-3974
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-356-1234
Provider Business Practice Location Address Fax Number:
662-874-5850
Provider Enumeration Date:
04/28/2021

Additional Information

Authorized Official

Authorized Official Last Name:
HALL
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALING SPECIALIST
Authorized Official Telephone Number:
662-356-1234

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: Q064797 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




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