Active NPI
Memory Lane at Home Agency
- Respite Care
- Memphis, TN
National Provider Identifier
1659936805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- MEMORY LANE AT HOME AGENCY
- Practice address
- 254 Court Ave
Memphis, TN 38103-2361 - Phone
- (901) 207-2260
- NPI assigned
- May 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara Clark
- Title
- Owner
- Phone
- (901) 207-2260
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
254 Court Ave
Memphis, TN 38103-2361
Mailing address
254 Court Ave # 205
Memphis, TN 38103-2361
Phone (901) 221-4430
National Provider Directory
National Provider DirectoryLocations
254 Court Ave
Memphis, TN 38103
Phone (901) 207-2260
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Memphis, TN
- NPI 1225902885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1659936805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 COURT AVE # 205",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032361",
"telephone_number": "901-221-4430",
"fax_number": "901-207-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 COURT AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032361",
"telephone_number": "901-207-2260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORY LANE AT HOME AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-03",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "TAMARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-207-2260"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
- Xiomara Elizabeth Melo, MSW, LCSW
- Jie Zhang Meltesen, PA
- Margie Melton-Scott
- Hannah Louise Melton
- Pamela Melvin, R.N.
- Memory Lane at Home Agency LLC
- Memphis & Shelby County Ped. Group
- Memphis & Shelby County Pediatric Group
- Memphis and Shelby County Health Department
- Memphis and Shelby County Health Dept Pharmacy (Memphis and Shelby County Health Department)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.