Healthcare Provider Details

I. General information

NPI: 1205791811
Provider Name (Legal Business Name): MICAH CARING HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 POPLAR AVE STE 250
MEMPHIS TN
38119-3974
US

IV. Provider business mailing address

6000 POPLAR AVE STE 250
MEMPHIS TN
38119-3974
US

V. Phone/Fax

Practice location:
  • Phone: 901-618-3952
  • Fax:
Mailing address:
  • Phone: 901-618-3952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: RUBY COBB
Title or Position: CEO
Credential:
Phone: 901-618-3952