Active NPI
Supportive Living Concepts,Inc
- Custodial Care Facility
- Memphis, TN
National Provider Identifier
1487913034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- 00000000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311Z0000X | Other | TN | TAXONMY |
National Provider Directory
National Provider DirectoryNPI 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.