Calico Developmental Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CALICO DEVELOPMENTAL SERVICES INC

Practice address

3874 Viscount Ave Ste 7
Memphis, TN 38118-6000

Phone

(615) 968-0447

Fax

(901) 417-8113

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Stacey Buchannon

Title

Executive Director

Phone

(404) 819-1611

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1629611637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3874 VISCOUNT AVE STE 7",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186000",
            "telephone_number": "615-968-0447",
            "fax_number": "901-417-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3874 VISCOUNT AVE STE 7",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186000",
            "telephone_number": "615-968-0447",
            "fax_number": "901-417-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALICO DEVELOPMENTAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "BUCHANNON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-819-1611"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rual Clay Caldwell Jr.
• Samantha Howard Caldwell, M.D.
• William Donald Caldwell Jr., DDS
• Kerry Ann Calfee, M.A. CCC-SLP
• Susan V Calhoun, M.D.
• Pha'Meshia Calico
• Katie Califano
• Heather Callahan, RN
• William Robert Callahan III, D.D.S.
• Eric W Callan, CRNA

• Home Health Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.