Matthews Cannon Enterprise LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MATTHEWS CANNON ENTERPRISE LLC

Practice address

212 N Lauderdale St
Memphis, TN 38105-3618

Phone

(901) 626-1178

Fax

(901) 544-9988

NPI assigned

Sep 21, 2015

Organization subpart

Yes

Parent organization

MATTHEWS CANNON ENTERPRISE LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Gwendolyn M Cannon

Title

President

Phone

(901) 262-8609

Specialties & licenses 1

Addresses

Other names 1

• We Care For You Home Care Agency Former legal business name

Part of

Matthews Cannon Enterprise LLC

Locations

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1104295161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N LAUDERDALE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381053618",
            "telephone_number": "901-626-1178",
            "fax_number": "901-544-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N LAUDERDALE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381053618",
            "telephone_number": "901-626-1178",
            "fax_number": "901-544-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWS CANNON ENTERPRISE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATTHEWS CANNON ENTERPRISE LLC",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-262-8609",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "We Care For You Home Care Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Matrix Medical Network of Tennessee, PC
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• Marc S Matsumura
• Anveetha Reddy Matta, MD
• Mattapan Dialysis LLC
• Ashley Nicolle Matthews, M.D.
• Denise Andrews Matthews
• Gekecial Matthews
• Jamil Matthews, LCSW
• Jared Lee Matthews, M.D.

• 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 Sep 21, 2015; 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.