Healthcare Provider Details

I. General information

NPI: 1437560950
Provider Name (Legal Business Name): CARING ARMS ADULT DAY CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2014
Last Update Date: 05/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4696 DALTON RD 1804 WILDROSE
MEMPHIS TN
38109-6804
US

IV. Provider business mailing address

4696 DALTON RD
MEMPHIS TN
38109-6804
US

V. Phone/Fax

Practice location:
  • Phone: 901-949-7226
  • Fax: 901-949-7226
Mailing address:
  • Phone: 901-949-7226
  • Fax: 901-949-7226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number08097048
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number087097048
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number087097048
License Number StateTN

VIII. Authorized Official

Name: MS. SHERICK LAS BELLE HARRIS
Title or Position: OWNER
Credential:
Phone: 901-949-7226