NPI Code Details Logo

NPI 1750905386

NPI 1750905386 : MEMBELLA CARE LLC : BRENTWOOD, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1750905386
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MEMBELLA CARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/29/2020
-----------------------------------------------------
    Last Update Date     |    09/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9005 OVERLOOK BLVD 
-----------------------------------------------------
    City                 |    BRENTWOOD
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37027-5269
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    615-593-8256
-----------------------------------------------------
    Fax                  |    615-236-1131
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    9005 OVERLOOK BLVD 
-----------------------------------------------------
    City                 |    BRENTWOOD
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37027-5269
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    615-593-8256
-----------------------------------------------------
    Fax                  |    615-236-1131
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
    Name                 |     CHRISTOPHER AKUGBE ULUMENFO 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    615-593-8256
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.