Organization Active NPI

Taylor Brown Garden Healthcare LLC

  • Home Health Agency
  • Memphis, TN
National Provider Identifier
1699921155
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TAYLOR BROWN GARDEN HEALTHCARE LLC
Practice address
568 Poplar Ave
Memphis, TN 38105-4510
Phone
(901) 527-2411
Fax
(901) 527-2413
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Dr. Ivory L Taylor, PHD
Title
Ceo
Phone
(901) 527-2411

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Home Health Agency 251E00000X Primary
Health Maintenance Organization 302R00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 1000000005282 TN

Addresses

Primary practice location

568 Poplar Ave
Memphis, TN 38105-4510

Mailing address

568 Poplar Ave
Memphis, TN 38105-4510
Phone (901) 527-2411

Other identifiers 1

IdentifierTypeStateIssuer
1506990MedicaidTN

Other names 1

  • taylor brown garden Doing business as

National Provider Directory

National Provider Directory

Locations

568 Poplar Ave
Memphis, TN 38105
Phone (901) 527-2411

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1699921155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054510",
            "telephone_number": "901-527-2411",
            "fax_number": "901-527-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054510",
            "telephone_number": "901-527-2411",
            "fax_number": "901-527-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR BROWN GARDEN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "IVORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-527-2411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": "1000000005282",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506990",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "taylor brown garden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 27, 2010; 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.