Healthcare Provider Details

I. General information

NPI: 1346174976
Provider Name (Legal Business Name): COMMUNITY PARTNERS FOR SENIORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1632 HARRAHS PARKWAY S EXT APT 1103
ROBINSONVILLE MS
38664-9103
US

IV. Provider business mailing address

4662 HORN LAKE RD # 1046
MEMPHIS TN
38109-5702
US

V. Phone/Fax

Practice location:
  • Phone: 662-588-1712
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number
License Number State

VIII. Authorized Official

Name: ELVIN LACKEY
Title or Position: OWNER
Credential:
Phone: 662-588-1712