Le Dujour H.E.R.O. Village of the Mid-South, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LE DUJOUR H.E.R.O. VILLAGE OF THE MID-SOUTH, INC.

Practice address

3750 Hacks Cross Rd Ste 102-218
Memphis, TN 38125-2367

Phone

(662) 388-0140

NPI assigned

Jul 17, 2017

Last updated

Jul 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Vachenzia McGraw-McKinneyNPI 1649791393

Title

Ceo

Phone

(662) 388-0140

Specialties & licenses 1

Addresses

Locations

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.

• Vachenzia McGraw-McKinney

  • Health Educator
  • Memphis, TN
  • NPI 1649791393
  NPD (past) Authorized official

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1235651753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 HACKS CROSS RD STE 102-218",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 HACKS CROSS RD STE 102-218",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252367",
            "telephone_number": "662-388-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE DUJOUR H.E.R.O. VILLAGE OF THE MID-SOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "MCGRAW-MCKINNEY",
        "authorized_official_first_name": "VACHENZIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-388-0140",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rande Harris Lazar, MD
• Robert Lazar
• Edward J Lazarus, MD
• Bethany Lazear, PHARM.D.
• Le Bonheur Pediatrics LLC
• Austin Le Vey
• Bao-Chau Le, PMHNP
• Carrie Anne Le, OD
• Julia Le, FNP-C
• Suong Le

• Health Service Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Health Service Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.