Organization Active NPI

ASC Tennessee LLC.

  • In Home Supportive Care Agency
  • Memphis, TN
National Provider Identifier
1962210708
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ASC TENNESSEE LLC.
Practice address
2400 Poplar Ave Ste 245
Memphis, TN 38112-3213
Phone
(901) 422-6400
NPI assigned
Dec 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
El Eric Lisker
Title
Senior Vice President
Phone
(949) 952-8635

Specialties & licenses 1

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

Addresses

Primary practice location

2400 Poplar Ave Ste 245
Memphis, TN 38112-3213

Mailing address

2400 Poplar Ave Ste 245
Memphis, TN 38112-3213
Phone (901) 422-6400

Other names 1

  • Amada Senior Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1962210708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 POPLAR AVE STE 245",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123213",
            "telephone_number": "901-422-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 POPLAR AVE STE 245",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123213",
            "telephone_number": "901-422-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC TENNESSEE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "ERIC LISKER",
        "authorized_official_first_name": "EL",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "949-952-8635"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 26, 2024; 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.