Organization Active NPI

Memories Made at Home Homecare LLC

  • In Home Supportive Care Agency
  • Chattanooga, TN
National Provider Identifier
1841946134
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MEMORIES MADE AT HOME HOMECARE LLC
Practice address
5726 Marlin Rd Ste 312
Chattanooga, TN 37411-5668
Phone
(833) 665-2785
Fax
(423) 597-1273
NPI assigned
Feb 24, 2022
Last updated
Feb 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Mrs. Heather Nicole Williams
Title
Owner
Phone
(833) 665-2785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

5726 Marlin Rd Ste 312
Chattanooga, TN 37411-5668

Mailing address

5726 Marlin Rd Ste 312
Chattanooga, TN 37411-5668
Phone (833) 665-2785

National Provider Directory

National Provider Directory

Locations

5726 Marlin Rd
Ste 312
Chattanooga, TN 37411
Phone (423) 499-9946

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1841946134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 MARLIN RD STE 312",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115668",
            "telephone_number": "833-665-2785",
            "fax_number": "423-597-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 MARLIN RD STE 312",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115668",
            "telephone_number": "833-665-2785",
            "fax_number": "423-597-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIES MADE AT HOME HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-665-2785",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.