NPIMap

Organization Active NPI

Home Opportunity Placement Environment 4 Assistant Living Care LLC

  • In Home Supportive Care Agency
  • Memphis, TN
National Provider Identifier
1740990795
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOME OPPORTUNITY PLACEMENT ENVIRONMENT 4 ASSISTANT LIVING CARE LLC
Practice address
3165 Overton Crossing St
Memphis, TN 38127-6522
Phone
(901) 572-1759
Fax
(901) 255-2609
NPI assigned
Nov 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Patricia Gray
Title
Director of Operation
Phone
(901) 315-8135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3165 Overton Crossing St
Memphis, TN 38127-6522

Mailing address

PO Box 27473
Memphis, TN 38167-0473
Phone (901) 315-8135

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1740990795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27473",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381670473",
            "telephone_number": "901-315-8135",
            "fax_number": "901-255-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 OVERTON CROSSING ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381276522",
            "telephone_number": "901-572-1759",
            "fax_number": "901-255-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME OPPORTUNITY PLACEMENT ENVIRONMENT 4 ASSISTANT LIVING CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "901-315-8135"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 30, 2022; 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.