Healthcare Provider Details
I. General information
NPI: 1801524095
Provider Name (Legal Business Name): HELIOS MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/15/2022
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1251 WESLEY DR STE 104
MEMPHIS TN
38116-6442
US
IV. Provider business mailing address
5164 DURANT ST
MEMPHIS TN
38116-8310
US
V. Phone/Fax
- Phone: 901-310-4916
- Fax: 901-425-9586
- Phone: 901-310-4916
- Fax: 901-425-9586
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DASHARDRA
WOODARD
Title or Position: CEO
Credential:
Phone: 901-310-4916