Healthcare Provider Details

I. General information

NPI: 1346781440
Provider Name (Legal Business Name): ANNOINTED HANDS HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 06/09/2023
Certification Date: 06/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3845 VISCOUNT AVE STE 305
MEMPHIS TN
38118-6024
US

IV. Provider business mailing address

385 VISCOUNT AVE. STE# 305
MEMPHIS TN
38118-6024
US

V. Phone/Fax

Practice location:
  • Phone: 901-574-8207
  • Fax: 901-441-5885
Mailing address:
  • Phone: 901-574-8207
  • Fax: 901-441-5885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MS. SCARLETT MONET HUNTER
Title or Position: COO
Credential:
Phone: 901-574-8207