NPIMap

Organization Active NPI

Your Community Health & Wellness

  • Multi-Specialty Clinic/Center
  • Memphis, TN
National Provider Identifier
1154793727
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
YOUR COMMUNITY HEALTH & WELLNESS
Practice address
1087 Alice Ave
Memphis, TN 38106-6543
Phone
(901) 271-5379
Fax
(901) 261-6144
NPI assigned
Oct 22, 2015
Last updated
Mar 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Florence Hervery
Title
Ceo
Phone
(901) 821-5835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1087 Alice Ave
Memphis, TN 38106-6543

Mailing address

1087 Alice Ave
Memphis, TN 38106-6543
Phone (901) 271-5379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070228000467 TN Part B Supplier - Clinic/Group Practice 5991807570 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Memphis, TN
O20151229000534 TN Part B Supplier - Clinic/Group Practice 0345541884 Practice locations: Memphis, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Case Management Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1087 Alice Ave
Memphis, TN 38106
Phone (901) 261-6174

1087 Alice Ave
Ste 1
Memphis, TN 38106

2124 Democrat Rd
Memphis, TN 38132

3171 Directors Row
Memphis, TN 38131
Phone (901) 821-5600

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1154793727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 ALICE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381066543",
            "telephone_number": "901-271-5379",
            "fax_number": "901-261-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 ALICE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381066543",
            "telephone_number": "901-271-5379",
            "fax_number": "901-261-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR COMMUNITY HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "HERVERY",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-821-5835"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "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 Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.