Organization Active NPI

Auxilium Health Services, LLC

  • Adult Day Care Clinic/Center
  • Bartlett, TN
National Provider Identifier
1154974905
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
AUXILIUM HEALTH SERVICES, LLC
Practice address
6575 Stage Rd
Bartlett, TN 38134-3809
Phone
(901) 213-4609
Fax
(901) 213-4613
NPI assigned
Jul 22, 2019
Last updated
Oct 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Lois A Harris
Title
Owner
Phone
(901) 213-4609

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

6575 Stage Rd
Bartlett, TN 38134-3809

Mailing address

6575 Stage Rd
Bartlett, TN 38134-3809
Phone (901) 213-4609

Other identifiers 1

IdentifierTypeStateIssuer
Q018471MedicaidTN

National Provider Directory

National Provider Directory

Locations

2645 Appling Rd
Ste 101
Memphis, TN 38133

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1154974905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 STAGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343809",
            "telephone_number": "901-213-4609",
            "fax_number": "901-410-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 STAGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343809",
            "telephone_number": "901-213-4609",
            "fax_number": "901-213-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUXILIUM HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-213-4609"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018471",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.