Malc, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

MALC, LLC

Practice address

855 Ridge Lake Blvd Ste 230
Memphis, TN 38120-9400

Phone

(901) 542-0025

NPI assigned

May 2, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Sahlease Dionne TaylorNPI 1902584287

Title

Owner

Phone

(901) 299-4680

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164867362. Details of each certification follow.

• CCN 447829 Home health agency · Active · Details

Home health agency certification: CCN 447829

Legal name

MALC, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 5, 2024

Last certification

Sep 5, 2024

Ownership / control type

Proprietary

Organization structure

OtherProprietary

Incorporated

Jun 18, 2013 in TN

Enrollment address

855 Ridge Lake Blvd
Ste 230
Memphis, TN 38120-9400

Listed as

Malc, LLCCCN 447829 · All quality measures

Ownership

Proprietary

Certified

Sep 5, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

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.

• Sahlease Taylor

  • Licensed Practical Nurse
  • Memphis, TN
  • NPI 1902584287
  NPD Authorized official

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1164867362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 RIDGE LAKE BLVD STE 230",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209400",
            "telephone_number": "901-542-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 RIDGE LAKE BLVD STE 230",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209400",
            "telephone_number": "901-542-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SAHLEASE",
        "authorized_official_middle_name": "DIONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-299-4680",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• Nursing Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.