Active NPI
Taylor Brown Garden Healthcare LLC
- Home Health Agency
- Memphis, TN
National Provider Identifier
1699921155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1506990 | Medicaid | TN |
Other names 1
- taylor brown garden
National Provider Directory
National Provider DirectoryLocations
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.