Healthcare Provider Details

I. General information

NPI: 1003143421
Provider Name (Legal Business Name): RMCM HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2009
Last Update Date: 11/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 POPLAR AVE SUITE 103
MEMPHIS TN
38119-4711
US

IV. Provider business mailing address

6300 POPLAR AVE SUITE 103
MEMPHIS TN
38119-4711
US

V. Phone/Fax

Practice location:
  • Phone: 901-522-6899
  • Fax: 901-522-6396
Mailing address:
  • Phone: 901-522-6899
  • Fax: 901-522-6396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateTN
# 5
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. DARON MERRYMAN
Title or Position: CEO & OWNER
Credential: M.D
Phone: 901-522-6899