St. Jude Children'S Research Hospital Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST. JUDE CHILDREN'S RESEARCH HOSPITAL HOME CARE, LLC

Practice address

150 Peabody PL FL 2
Memphis, TN 38103-3700

Phone

(901) 595-1550

Fax

(901) 595-1508

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Shayla Williamson

Title

President and Administrator

Phone

(901) 595-1536

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Home health agency certification: CCN 447824

Legal name

ST JUDE CHILDRENS RESEARCH HOSPITAL HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 14, 2022

Last certification

Apr 14, 2022

Ownership / control type

Non-Profit

Organization structure

LLCNon-profit

Incorporated

Jul 7, 2020 in TN

Enrollment address

545 Danny Thomas PL
RM J-1006
Memphis, TN 38105-3601
HHA Branch

Listed as

St Jude Children'S Research Hospital Homecare, LLCCCN 447824

Ownership

Non-Profit

Certified

Apr 14, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St Jude Childrens Research Hospital Inc

  • Children's Hospital
  • Memphis, TN
  • NPI 1033112230

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Deena Rachel Levine, M.D.

  • Pediatric Hematology & Oncology Physician
  • Memphis, TN
  • NPI 1124218482

  Corporate Officer

  CMS ownership
• St Jude Children'S Research Hospital, Inc.

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1306335088

  5% Or Greater Direct Ownership Interest

  CMS ownership
• St Jude Childrens Research Hospital Inc

  • Children's Hospital
  • Memphis, TN
  • NPI 1033112230

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Ann Sosinski, PHARMD, MBA

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Memphis, TN
  • NPI 1164194742
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1265036263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 DANNY THOMAS PL # MS 518",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381053678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PEABODY PL FL 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033700",
            "telephone_number": "901-595-1550",
            "fax_number": "901-595-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JUDE CHILDREN'S RESEARCH HOSPITAL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "PRESIDENT AND ADMINISTRATOR",
        "authorized_official_telephone_number": "901-595-1536"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Jude Childrens Research Hospital Inc
• St Peter Villa Inc
• Kerilyn Elizabeth Morales St Pierre, MD
• St. Ann Inhome Care LLC
• Amy L St. Clair, NP
• St. Jude Childrens Research Hospital
• Bernetta St. Omer, BS
• Stacie a Arbor DDS PLLC
• Michael Lee Stack, M.D.
• Demetra Stackhouse-Powe, PHD, LMSW

• Home Health Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.