MEDICARE: MASON HOMECARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	376J00000X	Homemaker
2	376K00000X	Nurse's Aide
3	372500000X	Chore Provider
4	251F00000X	Home Infusion Agency
5	372600000X	Adult Companion
6	343900000X	Non-emergency Medical Transport (VAN)
7	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1053191130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MASON HOMECARE

Provider Business Mailing Address
First Line	:	3682 HYACINTH DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38115-4874
Country	:	US
Telephone Number	:	901-506-8556
Fax Number	:

Provider Business Practice Location Address
First Line	:	3682 HYACINTH DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38115-4874
Country	:	US
Telephone Number	:	901-506-8556
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. PAMELA MASON
Credential	:
Telephone Number	:	901-506-8556

Provider Enumeration Date	:	10/04/2023
Last Update Date	:	03/08/2026

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Directions to “MASON HOMECARE ” Practice Location

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