Active NPI
Heart N Soul Hospice Memphis
- Community Based Hospice Care Agency
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HEART N SOUL HOSPICE MEMPHIS
- Practice address
- 1255 Lynnfield Rd Ste 258
Memphis, TN 38119-5161 - Phone
- (901) 256-8921
- NPI assigned
- Aug 19, 2024
- Last updated
- Jun 18, 2026
- 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
- Tracy Wood
- Title
- Coo
- Phone
- (901) 256-8921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1255 Lynnfield Rd Ste 258
Memphis, TN 38119-5161
Mailing address
51 Century Blvd Ste 100
Nashville, TN 37214-3614
Phone (901) 256-8921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250327001783 | TN | Part A Provider - Hospice | 5496278798 | Practice locations: Memphis, TN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1699507434. Details of each certification follow.
Hospice certification: CCN 441610
- Legal name
- HEART N SOUL HOSPICE MEMPHIS
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 28, 2025
- Last certification
- May 28, 2025
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Enrollment address
- 1255 Lynnfield Rd
Ste 258
Memphis, TN 38119-5161
Care Compare: Hospice
Medicare Care Compare- Listed as
- Heart N Soul Hospice Memphis LLC
- Certified
- May 28, 2025
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2332138 | Heart N Soul Hospice Memphis | Certificate of waiver | Oct 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
1255 Lynnfield Rd
Ste 258
Memphis, TN 38119
Phone (678) 333-7880
51 Century Blvd
Ste 100
Nashville, TN 37214
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jamie a Goodman | Contracted Managing Employee | Jun 9, 2025 | |
| Tracy Wood | W-2 Managing Employee | Feb 1, 2024 | 50% |
| Operational/Managerial Control | Feb 1, 2024 | 50% | |
| David P. Turner | 5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 50% |
| Peggy I. Bertels | W-2 Managing Employee | Feb 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Islamorada, FL
- NPI 1588785315
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Memphis, TN
- NPI 1134539075
-
- Geriatric Medicine (Family Medicine) Physician
- Hendersonville, TN
- NPI 1184612921
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781740800000",
"number": "1699507434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 CENTURY BLVD STE 100",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143614",
"telephone_number": "901-256-8921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 LYNNFIELD RD STE 258",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195161",
"telephone_number": "901-256-8921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART N SOUL HOSPICE MEMPHIS",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-19",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "901-256-8921"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Heart 2 Heart Home Health Services
- Heart 2 Home Care Services LLC
- Heart and Hand Counseling LLC
- Heart and Hands Caregiving LLC
- Heart Center USA Incorporated
- Heart Smiles, LLC
- Heart to Heart Personal Home Care LLC
- Heart to Heart Therapy, LLC
- Heart to Home Healthcare Services Inc
- Heartfelt Comfort Home Care LLC (Heartfelt Comfort Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.