Healthcare Provider Details

I. General information

NPI: 1851212294
Provider Name (Legal Business Name): MEDCARE NURSING INSTITUTE & TRAINING ACADEMY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 E SHELBY DR
MEMPHIS TN
38118-7191
US

IV. Provider business mailing address

1147 HAVENWOOD DR
CORDOVA TN
38018-0308
US

V. Phone/Fax

Practice location:
  • Phone: 901-520-1426
  • Fax: 901-520-1426
Mailing address:
  • Phone: 901-520-1426
  • Fax: 901-520-1426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name: CHARLES MCKUHN
Title or Position: DIRECTOR
Credential: SPONSOR/PROVIDER
Phone: 901-520-1426