Professional Home Care, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PROFESSIONAL HOME CARE, LLC

Practice address

355 S Sanga Rd
Cordova, TN 38018-4813

Phone

(901) 834-0118

NPI assigned

Feb 1, 2021

Organization subpart

No

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

Authorized official

Name

Christine M SandridgeNPI 1053736710

Title

Owner

Phone

(901) 834-0118

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine M Sandridge

  • Licensed Practical Nurse
  • Olive Branch, MS
  • NPI 1053736710

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1649861766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6783 TERRY CHASE",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541448",
            "telephone_number": "901-834-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S SANGA RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184813",
            "telephone_number": "901-834-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "SANDRIDGE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-834-0118"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Presley, DPT
• Latia Price, RBT
• Rebecca Price, LPC-MHSP(TEMP)
• Priority One Medical, Inc. (Memphis Medical Rehabilitation Center)
• David Lanier Pritchard, M.D.
• Promed Solutions LLC
• Promise Groves Adult Day Center
• Prosperity Transportation, LLC
• Prosthetic Orthotic & Pedorthic Associates, Inc
• Proverbs Care Home LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cordova, TN
• Providers in Cordova, TN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.