MEDICARE: THE VILLAGE COMMUNITY DEVELOPMENT CENTER LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	225X00000X	Occupational Therapist
3	235Z00000X	Speech-Language Pathologist
4	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1922937887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE VILLAGE COMMUNITY DEVELOPMENT CENTER LLC

Provider Business Mailing Address
First Line	:	7361 ABERCROMBIE LN
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-8947
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7361 ABERCROMBIE LN
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-8947
Country	:	US
Telephone Number	:	901-240-6694
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	TAMARA L JONES
Credential	:	PT, MS
Telephone Number	:	901-240-6694

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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