Healthcare Provider Details

I. General information

NPI: 1245751973
Provider Name (Legal Business Name): CAREFIRST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1156 S BELLEVUE BLVD
MEMPHIS TN
38106
US

IV. Provider business mailing address

1156 S BELLEVUE BLVD
MEMPHIS TN
38106
US

V. Phone/Fax

Practice location:
  • Phone: 901-848-1819
  • Fax:
Mailing address:
  • Phone: 901-848-1819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VERDELL OLIVER
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 901-848-1819