Shelby County Health Care Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

405 Issued in TN

Legal business name

SHELBY COUNTY HEALTH CARE CORPORATION

Practice address

877 Jefferson Ave
3Rd Floor, Adams Pavilion
Memphis, TN 38103-2807

Phone

(901) 515-4300

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca D Derousse

Title

Administrator

Phone

(901) 515-4300

Specialties & licenses 1

Addresses

Other names 1

• Regional One Health Subacute Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario Marquist Ray, M.D.

  • Hospitalist Physician
  • Memphis, TN
  • NPI 1326128364
  NPD (past)

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1013313865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 JEFFERSON AVE",
            "address_2": "3RD FLOOR, ADAMS PAVILION",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 JEFFERSON AVE",
            "address_2": "3RD FLOOR, ADAMS PAVILION",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032807",
            "telephone_number": "901-515-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY HEALTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "DEROUSSE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-515-4300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional One Health Subacute Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby County Board of Education
• Shelby County Government
• Shelby County Government
• Shelby County Government
• Shelby County Health Care Corp.
• Shelby County Health Care Corporation
• Shelby County Health Care Corporation
• Shelby County Health Care Corporation
• Shelby County Health Care Corporation
• Shelby County Health Care Corporation

• Skilled Nursing Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.