Active NPI
My Faith Inc
- In Home Supportive Care Agency
- Memphis, TN
National Provider Identifier
1669707618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- L000000004203
- Legal business name
- MY FAITH INC
- Practice address
- 2506 Mount Moriah Rd
Suite B415
Memphis, TN 38115-1511 - Phone
- (901) 238-4071
- Fax
- (901) 791-2572
- NPI assigned
- Oct 8, 2009
- 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
- Mrs. Barbara Johnson-McKinney, LCSW
- Title
- Ceo
- Phone
- (901) 831-1231
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | L000000004203 | TN | Primary |
| Non-emergency Medical Transport (VAN) | 343900000X | TN |
Addresses
Primary practice location
2506 Mount Moriah Rd
Suite B415
Memphis, TN 38115-1511
Mailing address
3393 Clarke Rd
Memphis, TN 38115-3522
Phone (901) 238-4071
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T000448 | Medicaid | TN | |
| H445202 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
2506 Mount Moriah Rd
Ste B415
Memphis, TN 38115
Phone (901) 238-4071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461024000000",
"number": "1669707618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3393 CLARKE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381153522",
"telephone_number": "901-238-4071",
"fax_number": "901-791-2572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506 MOUNT MORIAH RD",
"address_2": "SUITE B415",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381151511",
"telephone_number": "901-238-4071",
"fax_number": "901-791-2572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY FAITH INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-08",
"last_updated": "2016-04-19",
"status": "A",
"authorized_official_last_name": "JOHNSON-MCKINNEY",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "901-831-1231",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TN",
"license": "L000000004203",
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "TN",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T000448",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H445202",
"state": "TN"
}
],
"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 Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.