=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609667120
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KEEPING YOU COMPANY CARE GROUP LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/14/2025
-----------------------------------------------------
Last Update Date | 05/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3900 NEW COVINGTON PIKE STE 108
-----------------------------------------------------
City | MEMPHIS
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38128-2526
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 901-238-4220
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3900 NEW COVINGTON PIKE STE 108
-----------------------------------------------------
City | MEMPHIS
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38128-2526
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 901-238-4220
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | MR. CHRISTIAN DENANE HINES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 901-238-4220
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------