Organization Active NPI

Open Heart Community Foundation

  • In Home Supportive Care Agency
  • Memphis, TN
National Provider Identifier
1639804636
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPEN HEART COMMUNITY FOUNDATION
Practice address
1981 Kansas St
Memphis, TN 38109-1968
Phone
(901) 409-1228
NPI assigned
Jul 22, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Ms. Tiffany Lashay Rucker, PSSANPI 1326786799
Title
Pssa
Phone
(901) 409-9740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1981 Kansas St
Memphis, TN 38109-1968

Mailing address

5363 Ravendale Ave
Memphis, TN 38134-4430
Phone (901) 409-1228

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1639804636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 RAVENDALE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381344430",
            "telephone_number": "901-409-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 KANSAS ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381091968",
            "telephone_number": "901-409-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HEART COMMUNITY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "LASHAY",
        "authorized_official_title_or_position": "PSSA",
        "authorized_official_telephone_number": "901-409-9740",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSSA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Aug 23, 2022; 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.