Active NPI
Minnies Haven of Hope Adult Care LLC
- In Home Supportive Care Agency
- Memphis, TN
National Provider Identifier
1295617710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MINNIES HAVEN OF HOPE ADULT CARE LLC
- Practice address
- 3754 Shady Hollow LN
Memphis, TN 38116-4039 - Phone
- (901) 230-4409
- NPI assigned
- Jul 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Avant - Woodard
- Title
- President
- Phone
- (901) 230-4409
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3754 Shady Hollow LN
Memphis, TN 38116-4039
Mailing address
1309 Edwin CT
McDonough, GA 30252-5018
Phone (901) 230-4409
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753315200000",
"number": "1295617710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 EDWIN CT",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302525018",
"telephone_number": "901-230-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3754 SHADY HOLLOW LN",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381164039",
"telephone_number": "901-230-4409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINNIES HAVEN OF HOPE ADULT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A",
"authorized_official_last_name": "AVANT - WOODARD",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-230-4409"
},
"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 Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.