Healthcare Provider Details

I. General information

NPI: 1184433765
Provider Name (Legal Business Name): EMERALD MEADOWS CARE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 01/07/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

893 N MCNEIL ST
MEMPHIS TN
38107-4443
US

IV. Provider business mailing address

1701 BELLEDEER DR W
CORDOVA TN
38016-0412
US

V. Phone/Fax

Practice location:
  • Phone: 901-426-3639
  • Fax:
Mailing address:
  • Phone: 901-426-3639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: CHERYL CARTER
Title or Position: CEO
Credential: RN
Phone: 901-426-3639