MS. AUDREY DIONNE DILLON (NPI# 1073941993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073941993 |
| Entity Type | Individual |
| Full Name | MS. AUDREY DIONNE DILLON |
| Practice Address |
3679 Ford Rd Memphis TN 38109-3614 |
| Practice Telephone | 9013357251 |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2013-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 1000000013286 | TN | Nursing & Custodial Care Facilities |
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
1000000013286 | TN | Nursing & Custodial Care Facilities |
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
1000000013286 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | H445768 | 05 |
| Street Address |
3679 FORD RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38109-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851937791 | Phyllis Person | Technician | 292 Modder Ave, Memphis, TN 38109 | 2019-11-26 |
| 1598233900 | Catherine Denise Baines | Technician | 697 Whitehave Lane, Memphis, TN 38109 | 2018-11-05 |
| 1821597808 | Patricia Ann Brookins | Occupational Therapy Assistant | 922 Leacrest Ave, Memphis, TN 38109 | 2018-02-06 |
| 1922371657 | Rhonda Boutte | Pharmacist | 4155 Highway 61 South, Memphis, TN 38109 | 2012-02-10 |
| 1255616736 | Kandace Diggins | Pharmacist | 4155 Highway 61 S, Memphis, TN 38109 | 2011-10-17 |
| 1700161296 | Keith D Rubrum | Pharmacist | 4155 Hwy 61 S, Memphis, TN 38109 | 2011-10-15 |
| 1487940011 | Count Own Transportion | Non-emergency Medical Transport (VAN) | 4093 Ponca St, Memphis, TN 38109 | 2011-06-22 |
| 1083876502 | Patrickgrapevine | Community/Behavioral Health | 1833 South Third Street, Memphis, TN 38109 | 2008-06-26 |
| 1790837797 | 2001 Vision Center | Optometrist | 1930 South Third St, Memphis, TN 38109 | 2007-01-18 |
| 1750499984 | Jeff A. Beekhuizen | Family Medicine | 3362 S. Third Street, Christ Community Health Services Inc, Memphis, TN 38109 | 2006-08-28 |
| Find all providers in zip 38109 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720580624 | Renee's House of Care | Assisted Living Facility | 2068 Lee Cv, Memphis, TN 38127-3322 | 2018-03-06 |
| 1588994560 | Serenity Homes LLC | Assisted Living Facility | 3313 Cotton Bale Cv, Memphis, TN 38119-8971 | 2010-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905386 | Memanabel Assisted Living Home Care | Assisted Living Facility | 5161 Pebble Creek Dr, Antioch, TN 37013-1871 | 2020-05-29 |
| 1154880557 | Wellington Manor, LLC | Assisted Living Facility | 375 Hendrick Drive, Newport, TN 37821-5344 | 2019-03-15 |
| 1134699242 | Fountain Springs Healthcare Corp | Assisted Living Facility | 637 Lake Terrace Dr, Nashville, TN 37217-4212 | 2018-12-01 |
| 1225568389 | Balance Homecare LLC | Assisted Living Facility | 2611 Herman St, Nashville, TN 37208-3234 | 2017-06-12 |
| 1700281524 | Trucare Transformation | Assisted Living Facility | 607 Neill Ave, Nashville, TN 37206-3923 | 2014-10-23 |
| 1497163760 | Comer House of Nashville LLC | Assisted Living Facility | 1603 14th Ave N, Nashville, TN 37208-2034 | 2014-07-30 |
| 1821337866 | Leann Care LLC | Assisted Living Facility | 33 Rawlig Wood Cove Ave, Jackson, TN 38305 | 2013-02-12 |
| 1770760829 | Davidson County Assisted Living LLC | Assisted Living Facility | 6961 Highway 70 S, Nashville, TN 37221-2204 | 2008-01-30 |
| 1710180955 | Victorian Square, LLC | Assisted Living Facility | 241 S Chamberlain Ave, Rockwood, TN 37854-6542 | 2007-06-06 |
| 1407363526 | True Home Health | Assisted Living Facility | 111 Center Park Dr Ste 115, Knoxville, TN 37922-2121 | 2018-01-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.