Organization Active NPI

Latc Personal Care

  • In Home Supportive Care Agency
  • Memphis, TN
National Provider Identifier
1265066161
Registry record updated Mar 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LATC PERSONAL CARE
Practice address
62 N Main St Apt 209
Memphis, TN 38103-2198
Phone
(337) 326-6784
NPI assigned
Feb 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2020

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

Authorized official

Name
Jovan Dangerfield
Title
Owner
Phone
(337) 326-6784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

62 N Main St Apt 209
Memphis, TN 38103-2198

Mailing address

62 N Main St Apt 209
Memphis, TN 38103-2198
Phone (337) 326-6784

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583539200000",
    "number": "1265066161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 N MAIN ST APT 209",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032198",
            "telephone_number": "337-326-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 N MAIN ST APT 209",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032198",
            "telephone_number": "337-326-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATC PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A",
        "authorized_official_last_name": "DANGERFIELD",
        "authorized_official_first_name": "JOVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-326-6784"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2020; 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.