Memory Lane at Home Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MEMORY LANE AT HOME AGENCY LLC

Practice address

254 Court Ave # 205
Memphis, TN 38103-2361

Phone

(901) 221-4430

Fax

(901) 207-8860

NPI assigned

Oct 1, 2025

Organization subpart

No

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

Authorized official

Name

Tamara M ClarkNPI 1225902885

Title

Owner

Phone

(901) 297-6113

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Tamara M Clark

  • Home Health Agency
  • Memphis, TN
  • NPI 1225902885
  NPD Authorized official

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759622400000",
    "number": "1033083209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 COURT AVE # 205",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032361",
            "telephone_number": "901-221-4430",
            "fax_number": "901-207-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 COURT AVE # 205",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032361",
            "telephone_number": "901-221-4430",
            "fax_number": "901-207-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY LANE AT HOME AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-297-6113"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jie Zhang Meltesen, PA
• Margie Melton-Scott
• Hannah Louise Melton
• Pamela Melvin, R.N.
• Memory Lane at Home Agency
• Memphis & Shelby County Ped. Group
• Memphis & Shelby County Pediatric Group
• Memphis and Shelby County Health Department
• Memphis and Shelby County Health Dept Pharmacy
• Memphis and Shelby County Health Dept.

• In Home Supportive Care Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; 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.