MEDICARE: NEVER ALONE CARE HOME,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	261QA0600X	Adult Day Care Clinic/Center
2	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1750076881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVER ALONE CARE HOME,LLC

Provider Business Mailing Address
First Line	:	8251 HOLSTON DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-3982
Country	:	US
Telephone Number	:	901-538-4803
Fax Number	:

Provider Business Practice Location Address
First Line	:	4409 FORREST VALLEY COVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38141-6866
Country	:	US
Telephone Number	:	901-538-4803
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. KEVA L BLEDSOE
Credential	:	REGISTERED NURSE
Telephone Number	:	901-538-4803

Provider Enumeration Date	:	04/05/2023
Last Update Date	:	04/05/2023

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