Organization 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
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.