Healthcare Provider Details

I. General information

NPI: 1891191771
Provider Name (Legal Business Name): ATTENDANT CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2014
Last Update Date: 11/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 POPLAR AVENUE SUITE 327
MEMPHIS TN
38117
US

IV. Provider business mailing address

4515 POPLAR AVENUE SUITE 327
MEMPHIS TN
38117
US

V. Phone/Fax

Practice location:
  • Phone: 901-685-3911
  • Fax: 901-685-3915
Mailing address:
  • Phone: 901-685-3911
  • Fax: 901-685-3915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATHRYN BUTCHER FEINSTONE
Title or Position: OWNER
Credential: LCSW
Phone: 901-685-3911