Individual provider Active NPI

Sondra Falicia Stevens

  • In Home Supportive Care Agency
  • Memphis, TN
National Provider Identifier
1679935548
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
4646 Poplar Ave Ste 530
Memphis, TN 38117-4435
Phone
(901) 308-2226
Fax
(901) 590-2883
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Homemaker 376J00000X

Addresses

Primary practice location

4646 Poplar Ave Ste 530
Memphis, TN 38117-4435

Mailing address

4646 Poplar Ave
Memphis, TN 38117-4426
Phone (901) 308-2226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Gentle Touch Home Care, Inc In Home Supportive Care CurrentSince Sep 29, 2024 Accepting new patients

Locations

4646 Poplar Ave
Ste 530
Memphis, TN 38117
Phone (901) 308-2226

4646 Poplar Ave
Memphis, TN 38117
Phone (901) 308-2226

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1679935548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174426",
            "telephone_number": "901-308-2226",
            "fax_number": "901-590-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 POPLAR AVE STE 530",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174435",
            "telephone_number": "901-308-2226",
            "fax_number": "901-590-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "SONDRA",
        "middle_name": "FALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 29, 2024; 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.