Active NPI
Psalms, Inc
- Skilled Nursing Facility
- Memphis, TN
National Provider Identifier
1407071616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0000000243
- Legal business name
- PSALMS, INC
- Practice address
- 3535 Kirby Rd
Memphis, TN 38115-3721 - Phone
- (901) 369-7319
- Fax
- (901) 369-7351
- NPI assigned
- Apr 14, 2007
- 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
- Mrs. Conatance Renee Rines
- Title
- Healthcare Accounting Manager
- Phone
- (901) 369-7319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0000000243 | TN | Primary |
Addresses
Primary practice location
3535 Kirby Rd
Memphis, TN 38115-3721
Mailing address
3535 Kirby Rd
Memphis, TN 38115-3721
Phone (901) 369-7319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0117488 | Other | TN | BCBS PROVIDER # |
Other names 1
- Kirby Pines Manor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040721000099 | TN | Part A Provider - Skilled Nursing Facility | 1658351754 | Practice locations: Memphis, TN |
Skilled nursing facility certification: CCN 445189
- Legal name
- PSALMS, INC
- Doing business as
- KIRBY PINES MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Mar 7, 1986
- Last certification
- Jun 3, 2025
- Beds
- 120
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- LLC
- Incorporated
- Mar 2, 1981 in TN
- Enrollment address
- 3535 Kirby Pkwy
Memphis, TN 38115-3721 - Nursing home name
- KIRBY PINES MANOR
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Kirby Pines Manor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Mar 7, 1986
- Medicare certification status
- Active
- Certified beds
- 120
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0314203 | Kirby Pines Manor | Certificate of waiver | Jul 8, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Psalms, Inc | 5% Or Greater Direct Ownership Interest | Sep 1, 1983 | |
| Constance Myers | W-2 Managing Employee | Aug 29, 2003 | |
| Rudolf Herzke | Corporate Director | Jan 1, 2011 | |
| W-2 Managing Employee | Jan 1, 2011 |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Memphis, TN
- NPI 1043262538
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407071616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 KIRBY RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381153721",
"telephone_number": "901-369-7319",
"fax_number": "901-369-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 KIRBY RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381153721",
"telephone_number": "901-369-7319",
"fax_number": "901-369-7351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSALMS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RINES",
"authorized_official_first_name": "CONATANCE",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "HEALTHCARE ACCOUNTING MANAGER",
"authorized_official_telephone_number": "901-369-7319",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "0000000243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "0117488",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kirby Pines Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.