NPIMap

Organization Active NPI

Tristate Infusion, LLC

Doing business as Vital Care of Memphis

  • Home Health Agency
  • Memphis, TN
National Provider Identifier
1225832629
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRISTATE INFUSION, LLC
Doing business as
Vital Care of Memphis
Practice address
1680 Century Center Pkwy Ste 10
Memphis, TN 38134-8827
Phone
(901) 322-8380
Fax
(901) 328-5664
NPI assigned
Apr 3, 2025
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Logan E DavisNPI 1235393679
Title
Owner
Phone
(601) 482-7420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1680 Century Center Pkwy Ste 10
Memphis, TN 38134-8827

Mailing address

1680 Century Center Pkwy Ste 10
Memphis, TN 38134-8827
Phone (901) 322-8380

Other names 1

  • Vital Care of Memphis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tristate Infusion LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1680 Century Center Pkwy
Ste 10
Memphis, TN 38134
Phone (901) 322-8380

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1225832629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 CENTURY CENTER PKWY STE 10",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381348827",
            "telephone_number": "901-322-8380",
            "fax_number": "901-328-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 CENTURY CENTER PKWY STE 10",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381348827",
            "telephone_number": "901-322-8380",
            "fax_number": "901-328-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE INFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-482-7420"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Memphis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 3, 2025; 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.