MEDICARE: LIVING LEGACY SENIOR SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1659229771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING LEGACY SENIOR SERVICES LLC

Provider Business Mailing Address
First Line	:	4371 WINDING HOLLOW WAY
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-3216
Country	:	US
Telephone Number	:	901-279-5949
Fax Number	:	901-827-1809

Provider Business Practice Location Address
First Line	:	4371 WINDING HOLLOW WAY
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-3216
Country	:	US
Telephone Number	:	901-279-5949
Fax Number	:	901-827-1809

Authorized Official
Title or Position	:	OWNER
Name	:	MS. BETTY SHELTON
Credential	:	SHELTON
Telephone Number	:	901-827-1809

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

Similar Medicare Providers

1992860613 — DR. AJAY KESHAVLAL DAVE DDS
Practice Location Address:

3216 PARK AVE
MEMPHIS, TN
38111-3046

Practice Phone: 901-327-0003
Practice Fax: 901-327-1894

1467056101 — INSIDE OUT COUNSELING & COACHING, LLC
Practice Location Address:

3204 RUSKIN RD
MEMPHIS, TN
38134-3216

Practice Phone: 901-830-9147
Practice Fax:

1912858986 — SHORTER
Practice Location Address:

3204 RUSKIN RD
MEMPHIS, TN
38134-3216

Practice Phone: 901-830-9147
Practice Fax:

1093449126 — MR. ROMAN DAVID COMER CRNA
Practice Location Address:

3340 PLAYERS CLUB PKWY STE 350
MEMPHIS, TN
38125-8949

Practice Phone: 901-844-1590
Practice Fax:

1629018999 — TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, LLC
Practice Location Address:

8245 TOURNAMENT DR , SUITE 255
MEMPHIS, TN
38125-8898

Practice Phone: 901-748-9121
Practice Fax: 901-748-9125

1962405746 — DR. MIHAELA ONCIU MD
Practice Location Address:

3495 HACKS CROSS RD
MEMPHIS, TN
38125

Practice Phone: 901-526-7444
Practice Fax:

Directions to “LIVING LEGACY SENIOR SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.