Healthcare Provider Details

I. General information

NPI: 1558411538
Provider Name (Legal Business Name): AMERICARE LONG TERM SPECIALTY HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3391 OLD GETWELL RD
MEMPHIS TN
38118-3635
US

IV. Provider business mailing address

3391 OLD GETWELL RD
MEMPHIS TN
38118-3635
US

V. Phone/Fax

Practice location:
  • Phone: 901-369-9100
  • Fax: 901-367-8702
Mailing address:
  • Phone: 901-369-9100
  • Fax: 901-367-8702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0000000249
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number0000000249
License Number StateTN

VIII. Authorized Official

Name: MR. MICHAEL E HAMPTON
Title or Position: PRESIDENT & CHIEF MANAGER
Credential:
Phone: 901-369-9100