Lacy and Bradford Care Facility

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

L000000005891 Issued in TN

Legal business name

LACY AND BRADFORD CARE FACILITY

Practice address

3533 Kendrick Rd
Memphis, TN 38108-2026

Phone

(901) 372-3327

Fax

(901) 372-3327

NPI assigned

Feb 20, 2010

Organization subpart

No

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

Authorized official

Name

Lillie B. Lacy

Title

Partnership

Phone

(901) 372-3327

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1266624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266624000000",
    "number": "1659693471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 KENDRICK RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381082026",
            "telephone_number": "901-372-3327",
            "fax_number": "901-372-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 KENDRICK RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381082026",
            "telephone_number": "901-372-3327",
            "fax_number": "901-372-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACY AND BRADFORD CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-20",
        "last_updated": "2010-02-20",
        "status": "A",
        "authorized_official_last_name": "LACY",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PARTNERSHIP",
        "authorized_official_telephone_number": "901-372-3327"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TN",
            "license": "L000000005891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvin Lackey
• Mark A Lackey, DMD
• Catherine Talbot Lackie, FNP
• Richard Malone Lackie, D.D.S.
• Mark Irwin Lackmann, LADAC I; CADC I
• Lacy Care Facility
• Michael R Lacy, MD
• Susan Northern Lacy, MD
• Wayne Joseph Ladner Jr., P.A.
• Mindy Lafayette

• Preferred Provider Organization in Memphis, TN
• Providers in Memphis, TN by specialty
• Preferred Provider Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; 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.