Indev Supported Living LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

INDEV SUPPORTED LIVING LLC.

Practice address

2675 Union Avenue Ext
Memphis, TN 38112-4401

Phone

(901) 682-2022

Fax

(901) 682-2052

NPI assigned

Aug 22, 2017

Organization subpart

No

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

Authorized official

Name

Ricardo Heros

Title

Ceo

Phone

(901) 682-2022

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• InDev Doing business as
• ACA Communities LLC. Former legal business name

Locations

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1578089439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 UNION AVENUE EXT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 UNION AVENUE EXT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124401",
            "telephone_number": "901-682-2022",
            "fax_number": "901-682-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEV SUPPORTED LIVING LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "HEROS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-682-2022"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00F91",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InDev",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "InDev",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACA Communities LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• In Home Supportive Care Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.