Organization Active NPI

Lee Hamilton Care Home

  • Assisted Living Facility (Mental Illness)
  • Memphis, TN
National Provider Identifier
1306661327
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
LEE HAMILTON CARE HOME
Practice address
4615 Dunn Ave
Memphis, TN 38117-6512
Phone
(573) 481-5473
Fax
(872) 312-0821
NPI assigned
Nov 15, 2024
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Jeremiah White Sr.NPI 1760276216
Title
Operations Manager
Phone
(573) 481-5473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X

Addresses

Primary practice location

4615 Dunn Ave
Memphis, TN 38117-6512

Mailing address

3340 Greenway Dr
Horn Lake, MS 38637-2642
Phone (573) 481-5473

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1306661327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 GREENWAY DR",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386372642",
            "telephone_number": "573-481-5473",
            "fax_number": "872-312-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 DUNN AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381176512",
            "telephone_number": "573-481-5473",
            "fax_number": "872-312-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE HAMILTON CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "573-481-5473",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 29, 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.