MEDICARE: COMMUNITY TRANSITION NURSE CARE MANAGER, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner
2	163WC0400X	Case Management Registered Nurse
3	251B00000X	Case Management Agency
4	251E00000X	Home Health Agency
5	251J00000X	Nursing Care Agency	1000000016409	TN
6	261QP2300X	Primary Care Clinic/Center
7	363LP2300X	Primary Care Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659752103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY TRANSITION NURSE CARE MANAGER, LLC

Provider Business Mailing Address
First Line	:	4405 TIMBER JUMP
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38141-7395
Country	:	US
Telephone Number	:	901-550-1486
Fax Number	:

Provider Business Practice Location Address
First Line	:	3238 PLAYERS CLUB CIR STE 58&59
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-8843
Country	:	US
Telephone Number	:	901-869-5744
Fax Number	:	901-794-4128

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	ADDIE MARCHANT
Credential	:
Telephone Number	:	901-550-1486

Provider Enumeration Date	:	06/10/2015
Last Update Date	:	08/04/2022

Similar Medicare Providers

1689781015 — PHILIP E MURPHY PH.D.
Practice Location Address:

3238 PLAYERS CLUB CIR , SUITE 65
MEMPHIS, TN
38125-8843

Practice Phone: 800-632-6074
Practice Fax:

1801148572 — MRS. SHERYL LYNN BUCHANAN-FOSTER FNP
Practice Location Address:

3238 PLAYERS CLUB CIR
MEMPHIS, TN
38125-8843

Practice Phone: 901-869-5744
Practice Fax: 901-794-4128

1073965141 — BRANDY SHEPHARD FNP
Practice Location Address:

3238 PLAYERS CLUB CIR STE 58&59
MEMPHIS, TN
38125-8843

Practice Phone: 901-869-5744
Practice Fax: 901-794-4128

1568160885 — REVENGE BODY BAR MEDSPA
Practice Location Address:

3242 PLAYERS CLUB CIR
MEMPHIS, TN
38125-8843

Practice Phone: 901-584-8165
Practice Fax:

1659229771 — LIVING LEGACY SENIOR SERVICES LLC
Practice Location Address:

4371 WINDING HOLLOW WAY
MEMPHIS, TN
38125-3216

Practice Phone: 901-279-5949
Practice Fax: 901-827-1809

1093449126 — MR. ROMAN DAVID COMER CRNA
Practice Location Address:

3340 PLAYERS CLUB PKWY STE 350
MEMPHIS, TN
38125-8949

Practice Phone: 901-844-1590
Practice Fax:

Directions to “COMMUNITY TRANSITION NURSE CARE MANAGER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.