NPIMap

Organization Active NPI

Em Memory Loss Center

  • Alzheimer Center (Dementia Center)
  • Memphis, TN
National Provider Identifier
1750968533
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
EM MEMORY LOSS CENTER
Practice address
118 River Heights Dr Apt 102
Memphis, TN 38103-6979
Phone
(901) 235-5717
Fax
(209) 680-3568
NPI assigned
Mar 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Jacqueline SimsNPI 1861083016
Title
Ceo
Phone
(901) 235-5717

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

118 River Heights Dr Apt 102
Memphis, TN 38103-6979

Mailing address

118 River Heights Dr Apt 102
Memphis, TN 38103-6979
Phone (901) 235-5717

Other names 1

  • Ella M Memory Care Center Doing business as

National Provider Directory

National Provider Directory

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": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1750968533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 RIVER HEIGHTS DR APT 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381036979",
            "telephone_number": "901-235-5717",
            "fax_number": "209-680-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 RIVER HEIGHTS DR APT 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381036979",
            "telephone_number": "901-235-5717",
            "fax_number": "209-680-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EM MEMORY LOSS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-235-5717"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ella M Memory Care Center",
            "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 Mar 26, 2021; 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.