Organization Active NPI

Supportive Living Concepts,Inc

  • Custodial Care Facility
  • Memphis, TN
National Provider Identifier
1487913034
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
00000000 Issued in TN
Legal business name
SUPPORTIVE LIVING CONCEPTS,INC
Practice address
3391 Old Getwell Rd
Memphis, TN 38118-3635
Phone
(901) 949-0011
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Mr. Michael Hampton
Title
Ceo
Phone
(901) 949-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 00000000 TN Primary

Addresses

Primary practice location

3391 Old Getwell Rd
Memphis, TN 38118-3635

Mailing address

3391 Old Getwell Rd
Memphis, TN 38118-3635
Phone (901) 949-0011

Other identifiers 1

IdentifierTypeStateIssuer
311Z0000XOtherTNTAXONMY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1487913034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 OLD GETWELL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183635",
            "telephone_number": "901-949-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 OLD GETWELL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183635",
            "telephone_number": "901-949-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE LIVING CONCEPTS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-949-0011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "TN",
            "license": "00000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONMY",
            "identifier": "311Z0000X",
            "state": "TN"
        }
    ],
    "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 May 15, 2012; 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.