Organization Active NPI

Minnies Haven of Hope Adult Care LLC

  • In Home Supportive Care Agency
  • Memphis, TN
National Provider Identifier
1295617710
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jul 24, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.