Healthcare Provider Details

I. General information

NPI: 1386265296
Provider Name (Legal Business Name): HEART TO HOME HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2020
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1703 BENDER RD
MEMPHIS TN
38116-8008
US

IV. Provider business mailing address

1703 BENDER RD
MEMPHIS TN
38116-8008
US

V. Phone/Fax

Practice location:
  • Phone: 901-627-3277
  • Fax: 901-587-5079
Mailing address:
  • Phone: 901-281-4855
  • Fax: 901-587-5079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TRENAE SIMPSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 901-627-3277