NPIMap

Organization Active NPI

Shelby County Government

  • Home Health Agency
  • Memphis, TN
National Provider Identifier
1881130557
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHELBY COUNTY GOVERNMENT
Practice address
2670 Union Avenue Ext
Suite 1000
Memphis, TN 38112-4426
Phone
(901) 222-4100
Fax
(901) 222-4199
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Mrs. Dora Ivey
Title
Executive Director
Phone
(907) 222-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2670 Union Avenue Ext
Suite 1000
Memphis, TN 38112-4426

Mailing address

2670 Union Avenue Ext
Suite 1000
Memphis, TN 38112-4426
Phone (901) 222-4100

Other identifiers 1

IdentifierTypeStateIssuer
0445759MedicaidTN

Other names 1

  • Aging Commission of the Mid-South Other name

National Provider Directory

National Provider Directory
Tax ID family
Memphis Shelby Co Healt6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1881130557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 UNION AVENUE EXT",
            "address_2": "SUITE 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124426",
            "telephone_number": "901-222-4100",
            "fax_number": "901-222-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 UNION AVENUE EXT",
            "address_2": "SUITE 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124426",
            "telephone_number": "901-222-4100",
            "fax_number": "901-222-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "DORA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-222-4100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445759",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aging Commission of the Mid-South",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 30, 2017; 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.