Baptist Memorial Home Care Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

0000000242 Issued in TN

Legal business name

BAPTIST MEMORIAL HOME CARE INC

Doing business as

Baptist Trinity HomeCare & Hospice

Practice address

6141 Walnut Grove Rd
Memphis, TN 38120-2179

Phone

(901) 767-6767

NPI assigned

Mar 8, 2007

Last updated

Oct 5, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BAPTIST MEMORIAL HEALTH CARE CORP.As reported in NPPES

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

Authorized official

Name

Gregory Duckett

Title

Sr VP/ Clo

Phone

(901) 227-5233

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Baptist Trinity HomeCare & Hospice Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Baptist Memorial Health Care Corp

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• LHCG XCV, LLC

  dba Baptist Trinity Home Care & Hospice

  • Community Based Hospice Care Agency
  • Cordova, TN
  • NPI 1659807865

  Sold to, 2017-06-01

  CMS change of ownership

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1174654743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202179",
            "telephone_number": "901-767-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202179",
            "telephone_number": "901-767-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST MEMORIAL HOME CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "SR VP/ CLO",
        "authorized_official_telephone_number": "901-227-5233"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TN",
            "license": "0000000354",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TN",
            "license": "0000000242",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TN",
            "license": "L4380866324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE PROV NUMBER MCO",
            "identifier": "3874",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BLUE CROSS",
            "identifier": "0187373",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Trinity HomeCare & Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Trinity HomeCare & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ferdinand Bantilan
• Qiping Bao
• Baptist Cancer Center Physicians Foundation, Inc.
• Baptist Memorial Health Services Inc (Concern EAP)
• Baptist Memorial Health Services Inc (Baptist Home Medical Equipment)
• Baptist Memorial Home Care Inc
• Baptist Memorial Home Care Inc (Baptist Trinity HomeCare and Hospice)
• Baptist Memorial Hospital (Spence and Becky Wilson Baptist Children's Hospital)
• Baptist Memorial Hospital (Baptist Women's and Children's Outpatient Pharmacy)
• Baptist Memorial Hospital

• 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 Oct 5, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.