Monicia Sims

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

I000000033547 Issued in TN

Practice address

3164 Rochester Rd
Memphis, TN 38109-3268

Phone

(901) 303-4687

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Keep Soul Alive Supportive Living LLC

  • Assisted Living Facility (Mental Illness)
  • Memphis, TN
  • NPI 1598555690

  Assisted Living, Mental Illness

  NPD Authorized official

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1427876374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 S PERKINS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175533",
            "telephone_number": "901-303-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 ROCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381093268",
            "telephone_number": "901-303-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "MONICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "TN",
            "license": "I000000033547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kastan Sims, D.D.S
• Larry Darnell Sims Sr., DDS
• Maxine Sims
• Michael E Sims, LPC
• Michael Wayne Sims, CRNA
• Sheniqua Sims, MT
• Stela Sinanaj
• Rose Sinclair, NP
• Scott E Sinclair, MD
• Kristine Elise Sindoni, PT, DPT

• Assisted Living Facility (Mental Illness) in Memphis, TN
• Providers in Memphis, TN by specialty
• Assisted Living Facility (Mental Illness) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.