Healthcare Provider Details

I. General information

NPI: 1669387536
Provider Name (Legal Business Name): COMPASSIONATE CARE SOLUTIONS OF TN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3035 DIRECTORS ROW STE 208
MEMPHIS TN
38131-0412
US

IV. Provider business mailing address

4613 PAULA DR
MEMPHIS TN
38116-7240
US

V. Phone/Fax

Practice location:
  • Phone: 901-603-2283
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA LANE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: BSRT
Phone: 901-603-2283