Individual provider Active NPI

Demetria Denise Bailey, ADMINISTRATOR RHA

  • Adult Care Home Facility
  • Memphis, TN
National Provider Identifier
1073299285
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
L000000041159 Issued in TN
Practice address
2849 Shady Oak Ave
Memphis, TN 38112-4656
Phone
(901) 340-4623
Fax
(901) 370-2268
NPI assigned
Jun 22, 2023
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X L000000041159 TN Primary

Addresses

Primary practice location

2849 Shady Oak Ave
Memphis, TN 38112-4656

Mailing address

2849 Shady Oak Ave
Memphis, TN 38112-4656
Phone (901) 340-4623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L000000041159TNMDAdult Care Home Facility

Practice roles

OrganizationSpecialtyStatusNew patients
R&D Assisted Living LLC Adult Care Home CurrentSince Jun 25, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1073299285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 SHADY OAK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124656",
            "telephone_number": "901-340-4623",
            "fax_number": "901-370-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2849 SHADY OAK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124656",
            "telephone_number": "901-340-4623",
            "fax_number": "901-370-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "DEMETRIA",
        "middle_name": "DENISE",
        "credential": "ADMINISTRATOR RHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TN",
            "license": "L000000041159",
            "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 Sep 8, 2026; 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.