Active NPI
Baptist Memorial Home Care Inc
- Home Health Agency
- Covington, TN
National Provider Identifier
1811041502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BAPTIST MEMORIAL HOME CARE INC
- Practice address
- 1618 Highway 51 S
Unit C
Covington, TN 38019-3635 - Phone
- (901) 476-0333
- NPI assigned
- Jan 22, 2007
- Organization subpart
- Yes
- Parent organization
- BAPTIST MEMORIAL HEALTH CARE CORP.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory M Duckett
- Title
- Sr VP/ Clo
- Phone
- (901) 227-5233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1618 Highway 51 S
Unit C
Covington, TN 38019-3635
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 476-0333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13614 | Medicaid | TN | |
| 0189826 | Other | TN | BLUE CROSS PROV NUMBER |
National Provider Directory
National Provider Directory- Part of
- Baptist Memorial Health Care Corp
Locations
1618 Highway 51 S
Ste C
Covington, TN 38019
Phone (901) 476-0333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601856000000",
"number": "1811041502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202177",
"telephone_number": "901-476-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 HIGHWAY 51 S",
"address_2": "UNIT C",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380193635",
"telephone_number": "901-476-0333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST MEMORIAL HOME CARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.",
"enumeration_date": "2007-01-22",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A",
"authorized_official_last_name": "DUCKETT",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SR VP/ CLO",
"authorized_official_telephone_number": "901-227-5233"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13614",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROV NUMBER",
"identifier": "0189826",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.