Missionary Homecare Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MISSIONARY HOMECARE AGENCY, LLC

Practice address

4384 Stage Rd
Suite 212
Memphis, TN 38128-5794

Phone

(901) 249-3931

Fax

(901) 249-8134

NPI assigned

Feb 10, 2015

Last updated

Jun 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Doreen Lewis Thompson

Title

Owner/Ceo

Phone

(901) 949-2517

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1144611377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4384 STAGE RD",
            "address_2": "SUITE 212",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285794",
            "telephone_number": "901-249-3931",
            "fax_number": "901-249-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4384 STAGE RD",
            "address_2": "SUITE 212",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285794",
            "telephone_number": "901-249-3931",
            "fax_number": "901-249-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSIONARY HOMECARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "901-949-2517",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445667",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.