Kaylan Lynnette Johnson, LLC

Individual provider Active NPI Home Health Aide · Memphis, TN

NPI 1821649385 · NPPES record last updated Sep 26, 2019

Key facts

NPI
1821649385
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
5050 Poplar Ave Ste 1715
Memphis, TN 38157-1701
Phone
(901) 590-5590
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
At Home Health, LLC Current
since Oct 6, 2019
Accepting new patients

Locations

5050 Poplar Ave
Ste 1715
Memphis, TN 38157
Phone (901) 590-5590

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

5050 Poplar Ave Ste 1715
Memphis, TN 38157-1701

Mailing address

5050 Poplar Ave Ste 1715
Memphis, TN 38157-1701
Phone (901) 590-5590

Other providers in Memphis, TN

All providers in Memphis, TN · Home Health Aide in Tennessee

Sources for this page

Verify at the official NPI Registry.