Organization Active NPI

Silver Angels of Tennessee - Shelby, LLC

  • In Home Supportive Care Agency
  • Memphis, TN
National Provider Identifier
1003161050
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SILVER ANGELS OF TENNESSEE - SHELBY, LLC
Practice address
6005 Park Ave
Suite 111
Memphis, TN 38119-5240
Phone
(901) 791-2174
NPI assigned
Jul 16, 2012
Organization subpart
Yes
Parent organization
SILVER ANGELS OF TENNESSEE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Harrison
Title
Cfo
Phone
(502) 568-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6005 Park Ave
Suite 111
Memphis, TN 38119-5240

Mailing address

12201 Bluegrass Pkwy
Louisville, KY 40299-2361
Phone (502) 568-7800

National Provider Directory

National Provider Directory

Locations

6005 Park Ave
Ste 111
Memphis, TN 38119
Phone (901) 384-0176

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1003161050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "502-568-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 111",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195240",
            "telephone_number": "901-791-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER ANGELS OF TENNESSEE - SHELBY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SILVER ANGELS OF TENNESSEE, LLC",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.