Active NPI
At Home Adult Day Care LLC
Doing business as Adult Day Care and Carolyn Ann Beaty MBR
- Adult Day Care Clinic/Center
- Cordova, TN
National Provider Identifier
1255036174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- AT HOME ADULT DAY CARE LLC
- Doing business as
- Adult Day Care and Carolyn Ann Beaty MBR
- Practice address
- 1684 Huntgate CV
Cordova, TN 38016-1429 - Phone
- (901) 501-1005
- Fax
- (901) 753-1513
- NPI assigned
- Mar 31, 2023
- Last updated
- Mar 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilyn Hulbert
- Title
- President
- Phone
- (901) 652-5647
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1684 Huntgate CV
Cordova, TN 38016-1429
Mailing address
3499 Riverdale Rd
Memphis, TN 38115-4400
Phone (901) 652-5647
Other names 1
- ADULT DAY CARE AND CAROLYN ANN BEATY MBR
National Provider Directory
National Provider DirectoryLocations
3499 Riverdale Rd
Memphis, TN 38115
Phone (901) 363-7089
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.
-
- Pastoral Counselor
- Cordova, TN
- NPI 1902516412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680220800000",
"number": "1255036174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3499 RIVERDALE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381154400",
"telephone_number": "901-652-5647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1684 HUNTGATE CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380161429",
"telephone_number": "901-501-1005",
"fax_number": "901-753-1513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT HOME ADULT DAY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-31",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A",
"authorized_official_last_name": "HULBERT",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-652-5647"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ADULT DAY CARE AND CAROLYN ANN BEATY MBR",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.