Active NPI
Carlton Phillips
- Home Health Aide
- Memphis, TN
National Provider Identifier
1568858025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 4692 Tut CV
Memphis, TN 38128-1487 - Phone
- (901) 503-8912
- NPI assigned
- Apr 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
4692 Tut CV
Memphis, TN 38128-1487
Mailing address
4692 Tut CV
Memphis, TN 38128-1487
Phone (901) 503-8912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1 On 1 Home Health Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Memphis, TN
- NPI 1316459944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428710400000",
"number": "1568858025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4692 TUT CV",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381281487",
"telephone_number": "901-503-8912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4692 TUT CV",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381281487",
"telephone_number": "901-503-8912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "CARLTON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-11",
"last_updated": "2015-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.