Organization Active NPI

Universal Supportive Care

  • In Home Supportive Care Agency
  • Memphis, TN
National Provider Identifier
1083226450
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
UNIVERSAL SUPPORTIVE CARE
Practice address
3592 Knight Arnold Rd Ste 322
Memphis, TN 38118-2709
Phone
(901) 729-6237
Fax
(901) 672-8520
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Mr. Roderick B BrownNPI 1174154074
Title
Ceo
Phone
(901) 729-6237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

3592 Knight Arnold Rd Ste 322
Memphis, TN 38118-2709

Mailing address

1840 Pyramid PL Ste 322
Memphis, TN 38132-1703
Phone (901) 729-6237

Other identifiers 1

IdentifierTypeStateIssuer
1000000026916OtherTNSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

3592 Knight Arnold Rd
Ste 322
Memphis, TN 38118
Phone (901) 729-6237

3592 Knight Arnold Rd
Ste 3223592
Memphis, TN 38118

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1083226450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 PYRAMID PL STE 322",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381321703",
            "telephone_number": "901-729-6237",
            "fax_number": "901-672-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 KNIGHT ARNOLD RD STE 322",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182709",
            "telephone_number": "901-729-6237",
            "fax_number": "901-672-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL SUPPORTIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-729-6237",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1000000026916",
            "state": "TN"
        }
    ],
    "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 Mar 7, 2022; 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.