Active NPI
Superiorcare Care Homes
- Community/Behavioral Health Agency
- Memphis, TN
National Provider Identifier
1790472298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SUPERIORCARE CARE HOMES
- Practice address
- 2552 Poplar Ave Ste 4F
Memphis, TN 38112-3834 - Phone
- (662) 408-6995
- NPI assigned
- Apr 24, 2023
- 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
- Donna Luckett, NURSE PRACTITIONER
- Title
- Director
- Phone
- (662) 408-6995
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
2552 Poplar Ave Ste 4F
Memphis, TN 38112-3834
Mailing address
2552 Poplar Ave Ste 4F
Memphis, TN 38112-3834
Phone (662) 408-6995
National Provider Directory
National Provider DirectoryLocations
2552 Poplar Ave
Ste 4F
Memphis, TN 38112
Phone (662) 408-6995
3750 Hacks Cross Rd
Ste 102202
Memphis, TN 38125
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Cordova, TN
- NPI 1609332840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692921600000",
"number": "1790472298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2552 POPLAR AVE STE 4F",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381123834",
"telephone_number": "662-408-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2552 POPLAR AVE STE 4F",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381123834",
"telephone_number": "662-408-6995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIORCARE CARE HOMES",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-24",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A",
"authorized_official_last_name": "LUCKETT",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "662-408-6995",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.