MEDICARE: HOME CARE SERVICES MEMPHIS, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1750165247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE SERVICES MEMPHIS, LLC

Provider Business Mailing Address
First Line	:	1038 S YATES RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-3708
Country	:	US
Telephone Number	:	901-472-4100
Fax Number	:	866-436-9785

Provider Business Practice Location Address
First Line	:	1038 S YATES RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-3708
Country	:	US
Telephone Number	:	901-472-4100
Fax Number	:	866-436-9785

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	JESSICA SEWELL
Credential	:
Telephone Number	:	208-620-8283

Provider Enumeration Date	:	08/24/2023
Last Update Date	:	06/08/2026

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Directions to “HOME CARE SERVICES MEMPHIS, LLC ” Practice Location

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