Healthcare Provider Details

I. General information

NPI: 1720509185
Provider Name (Legal Business Name): ALL ABOUT HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 JACKSON AVE
MEMPHIS TN
38107-4351
US

IV. Provider business mailing address

1320 JACKSON AVE
MEMPHIS TN
38107-4351
US

V. Phone/Fax

Practice location:
  • Phone: 901-748-5188
  • Fax: 901-748-5214
Mailing address:
  • Phone: 901-748-5188
  • Fax: 901-748-5214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: TORRUS BROOKS
Title or Position: PRESIDENT
Credential:
Phone: 901-748-5188