Active NPI
Fulfillment Home Care Agency LLC
- In Home Supportive Care Agency
- Memphis, TN
National Provider Identifier
1700775871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FULFILLMENT HOME CARE AGENCY LLC
- Practice address
- 2600 Poplar Ave Ste 301
Memphis, TN 38112-3835 - Phone
- (901) 496-8579
- Fax
- (901) 677-1608
- NPI assigned
- Jul 2, 2025
- 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
- Mrs. Kameshia Shantel McGee
- Title
- Executive Director
- Phone
- (901) 496-8579
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2600 Poplar Ave Ste 301
Memphis, TN 38112-3835
Mailing address
2600 Poplar Ave Ste 301
Memphis, TN 38112-3835
Phone (901) 496-8579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155297 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
2600 Poplar Ave
Ste 301
Memphis, TN 38112
Phone (901) 496-8579
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- In Home Supportive Care Agency
- Memphis, TN
- NPI 1104683796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756339200000",
"number": "1700775871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 POPLAR AVE STE 301",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381123835",
"telephone_number": "901-496-8579",
"fax_number": "901-677-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 POPLAR AVE STE 301",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381123835",
"telephone_number": "901-496-8579",
"fax_number": "901-677-1608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULFILLMENT HOME CARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-02",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A",
"authorized_official_last_name": "MCGEE",
"authorized_official_first_name": "KAMESHIA",
"authorized_official_middle_name": "SHANTEL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "901-496-8579",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155297",
"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 Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.