Lacy Care Facility

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

L000000005891 Issued in TN

Legal business name

LACY CARE FACILITY

Practice address

3533 Kendrick Rd
Memphis, TN 38108-2026

Phone

(901) 372-3327

NPI assigned

Jul 6, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Randy Bradford

Title

Co-Owner/Partnership

Phone

(901) 268-7531

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1285946301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 KENDRICK RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381082026",
            "telephone_number": "901-372-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 KENDRICK RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381082026",
            "telephone_number": "901-372-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACY CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CO-OWNER/PARTNERSHIP",
        "authorized_official_telephone_number": "901-268-7531",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "TN",
            "license": "L000000005891",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TN",
            "license": "L000000005891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Lackey, DMD
• Catherine Talbot Lackie, FNP
• Richard Malone Lackie, D.D.S.
• Mark Irwin Lackmann, LADAC I; CADC I
• Lacy and Bradford Care Facility
• Michael R Lacy, MD
• Susan Northern Lacy, MD
• Wayne Joseph Ladner Jr., P.A.
• Mindy Lafayette
• Christopher W. Lafleur, M.D.

• Mental Illness Intermediate Care Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Illness Intermediate Care Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.