Organization Active NPI

Fulfillment Home Care Agency LLC

  • In Home Supportive Care Agency
  • Memphis, TN
National Provider Identifier
1700775871
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Mrs. Kameshia Shantel McGeeNPI 1104683796
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
155297MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.