Embrace Community Development Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EMBRACE COMMUNITY DEVELOPMENT CORPORATION

Practice address

1419 Breedlove St
Memphis, TN 38107-1211

Phone

(901) 484-3357

NPI assigned

Jun 13, 2024

Organization subpart

No

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

Authorized official

Name

Beatrice Flowers

Title

Director

Phone

(708) 439-6055

Specialties & licenses 1

Addresses

Other names 1

• We Care Community Health Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1013750579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381185560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 BREEDLOVE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381071211",
            "telephone_number": "901-484-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-439-6055"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "We Care Community Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.