Organization Active NPI

Grace House of Memphis, Inc.

  • Substance Abuse Rehabilitation Facility
  • Memphis, TN
National Provider Identifier
1841450210
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
0000000011 Issued in TN
Legal business name
GRACE HOUSE OF MEMPHIS, INC.
Practice address
329 N Bellevue Blvd
Memphis, TN 38105-4306
Phone
(901) 722-8460
Fax
(901) 722-9023
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Ms. Sharon Trammell
Title
Executive Director
Phone
(901) 722-8460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 0000000011 TN Primary

Addresses

Primary practice location

329 N Bellevue Blvd
Memphis, TN 38105-4306

Mailing address

329 N Bellevue Blvd
Memphis, TN 38105-4306

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2209217Grace House of Memphis329 N Bellevue, Memphis, TN 38105Certificate of waiverJan 11, 2027

National Provider Directory

National Provider Directory

Locations

329 N Bellevue Blvd
Memphis, TN 38105
Phone (901) 722-8460

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1841450210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N BELLEVUE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N BELLEVUE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054306",
            "telephone_number": "901-722-8460",
            "fax_number": "901-722-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOUSE OF MEMPHIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "TRAMMELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-722-8460",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": "0000000011",
            "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 Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.