J.a.L. Supportive Care Homes

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

J.A.L. SUPPORTIVE CARE HOMES

Practice address

3898 Mary Lee Dr
Memphis, TN 38116-5718

Phone

(901) 623-6220

NPI assigned

Jul 18, 2023

Last updated

Jul 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Leticia Ross-GlassNPI 1063158798

Title

Ceo Director

Phone

(901) 623-6220

Specialties & licenses 1

Addresses

Locations

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.

• Leticia Marie Ross-Glass

  • Driver
  • Memphis, TN
  • NPI 1063158798
  NPD Authorized official

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1295415099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SUMMER AVE STE 310",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381223632",
            "telephone_number": "901-623-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 MARY LEE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381165718",
            "telephone_number": "901-623-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.A.L. SUPPORTIVE CARE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "ROSS-GLASS",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "CEO DIRECTOR",
        "authorized_official_telephone_number": "901-623-6220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.