Organization Active NPI

Heart N Soul Hospice Memphis

  • Community Based Hospice Care Agency
  • Memphis, TN
National Provider Identifier
1699507434
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
1255 Lynnfield Rd
Ste 258
Memphis, TN 38119-5161

Care Compare: Hospice

Medicare Care Compare
Listed as
Heart N Soul Hospice Memphis LLCCCN 441610 · All quality measures
Certified
May 28, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2332138Heart N Soul Hospice Memphis1255 Lynnfield Road, Suite 258, Memphis, TN 38119Certificate of waiverOct 14, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Jamie a Goodman Individual Contracted Managing EmployeeMD; Jun 9, 2025
Tracy Wood Individual W-2 Managing EmployeeAd; Feb 1, 2024 50%
Operational/Managerial Control Feb 1, 2024 50%
David P. Turner Individual 5% Or Greater Direct Ownership InterestCeo Sep 1, 2024 50%
Peggy I. Bertels Individual W-2 Managing EmployeeAd; 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.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.