Healthcare Provider Details

I. General information

NPI: 1255253795
Provider Name (Legal Business Name): MEMPHIS AT HOME WITH CARE L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 VILLAGREEN DR
MEMPHIS TN
38118-4222
US

IV. Provider business mailing address

4545 VILLAGREEN DR
MEMPHIS TN
38118-4222
US

V. Phone/Fax

Practice location:
  • Phone: 901-601-7321
  • Fax:
Mailing address:
  • Phone: 901-601-7321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MS. QUINCY Y JONES
Title or Position: OWNER
Credential:
Phone: 901-601-7321