Organization Active NPI

Elder Care Social Services

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
National Provider Identifier
1689846768
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
104002243 Issued in TN
Legal business name
ELDER CARE SOCIAL SERVICES
Practice address
3318 Millbranch Rd
Memphis, TN 38116-3624
Phone
(901) 398-2167
Fax
(901) 398-9337
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Ms. Rosetta Perkins
Title
Administrator
Phone
(901) 398-2167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 104002243 TN Primary

Addresses

Primary practice location

3318 Millbranch Rd
Memphis, TN 38116-3624

Mailing address

3318 Millbranch Rd
Memphis, TN 38116-3624
Phone (901) 398-2167

Other identifiers 2

IdentifierTypeStateIssuer
T000213MedicaidTN
4129896OtherTNBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1689846768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 MILLBRANCH RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381163624",
            "telephone_number": "901-398-2167",
            "fax_number": "901-398-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 MILLBRANCH RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381163624",
            "telephone_number": "901-398-2167",
            "fax_number": "901-398-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER CARE SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "ROSETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-398-2167",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "104002243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T000213",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4129896",
            "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 Mar 28, 2008; 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.