Commons Mid-South Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COMMONS MID-SOUTH HOME CARE

Practice address

5395 Fox Plaza Dr Ste 101J
Memphis, TN 38115-1516

Phone

(901) 480-8606

Fax

(901) 249-8651

NPI assigned

Jun 24, 2019

Organization subpart

No

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

Authorized official

Name

Jonita Patrick

Title

President

Phone

(901) 480-8606

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1497316111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 FOX PLAZA DR STE 101J",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151516",
            "telephone_number": "901-480-8606",
            "fax_number": "901-249-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 FOX PLAZA DR STE 101J",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151516",
            "telephone_number": "901-480-8606",
            "fax_number": "901-249-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONS MID-SOUTH HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "JONITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-480-8606"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.