Healthcare Provider Details

I. General information

NPI: 1417873233
Provider Name (Legal Business Name): LIMITLESS SUPPORT PATHWAYS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3740 BUSINESS DR STE 15
MEMPHIS TN
38125-8516
US

IV. Provider business mailing address

3740 BUSINESS DR STE 15
MEMPHIS TN
38125-8516
US

V. Phone/Fax

Practice location:
  • Phone: 901-598-4583
  • Fax:
Mailing address:
  • Phone: 901-598-4583
  • Fax: 901-598-4583

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: MS. ETHEL JOHNSON
Title or Position: CO-OWNER/EXECUTIVE DIRECTOR
Credential:
Phone: 901-598-4583