DANDELION DIVERSIFIED CARE (NPI# 1164803623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164803623 |
| Entity Type | Organization |
| Organization Name | DANDELION DIVERSIFIED CARE |
| Practice Address |
8295 Tournament Dr Memphis TN 38125-8906 |
| Practice Telephone | 4694068797 |
| Mailing Telephone | 4694068797 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2016-01-02 |
| Authorized Official Name | MRS. EMMA JEAN COLEMAN (REGISTERED NURSE) |
| Authorized Official Telephone | 4694068797 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
RN000068705 | TN | Ambulatory Health Care Facilities |
| Street Address |
8295 TOURNAMENT DR |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-8906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376512855 | Frances Edwards | Nurse Practitioner | 8295 Tournament Dr, Memphis, TN 38125-8906 | 2006-03-16 |
| 1427617554 | Sbh Texas Physicians Services, Inc | Psychiatry & Neurology | 8295 Tournament Dr, Memphis, TN 38125-8906 | 2019-06-12 |
| 1972016111 | Infinity Wellness Solutions LLC | Family Medicine | 8295 Tournament Dr, Suite 150 Pmb# 9357, Memphis, TN 38125 | 2017-11-09 |
| 1598290447 | Superior Home Care LLC | Home Health | 8295 Tournament Dr, Memphis, TN 38125-8906 | 2017-04-28 |
| 1912449711 | Ayesha Ghani | Dietitian, Registered | 8295 Tournament Dr, Memphis, TN 38125-8906 | 2016-11-09 |
| 1700234564 | Asma Ghani | Dietitian, Registered | 8295 Tournament Dr, Suite 150, Memphis, TN 38125-8906 | 2016-06-01 |
| 1467856351 | Caremart Plus | In Home Supportive Care | 8295 Tournament Dr, Ste 150, Memphis, TN 38125-8906 | 2014-10-21 |
| 1366864704 | Hope Lang | Physical Therapy Assistant | 8295 Tournament Dr, Memphis, TN 38125-8906 | 2014-01-18 |
| 1467874750 | Paula Rena Price | Registered Nurse | 8295 Tournament Dr, Suite150, Memphis, TN 38125-8906 | 2014-01-06 |
| 1679994198 | Customized Medical Needs | Point of Service | 8295 Tournament Dr, Ste 2, Memphis, TN 38125-8906 | 2013-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225375538 | Blondy Shupp | Clinic/Center | 1310 Elyse Dr, Christiana, TN 37037-1403 | 2013-01-07 |
| 1275804908 | Metro Public Health Department | Clinic/Center | 311 23rd Avenue North, Nashville, TN 37203-1511 | 2012-01-26 |
| 1598894354 | Bedford County Health Department | Clinic/Center | 1606 Collins Hollow Rd, Lewisburg, TN 37091-4058 | 2007-03-05 |
| 1306991286 | State of Tennessee | Clinic/Center | 301 Mcghee St, Maryville, TN 37801-6811 | 2007-01-24 |
| 1669527230 | State of Tennessee | Clinic/Center | 3469 New Highway 68, Madisonville, TN 37354 | 2007-01-24 |
| 1033264916 | State of Tennessee | Clinic/Center | 719 Middle Creek Rd, Sevierville, TN 37862-5016 | 2007-01-24 |
| 1598285991 | Darnell Reginald Brooks | Clinic/Center | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2017-06-27 |
| 1356712673 | Montgomery County Health Department | Clinic/Center | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2015-10-13 |
| 1124414396 | Metropolitan Government of Nashville and Davidson City Emps | Clinic/Center | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2015-04-14 |
| 1821337387 | Gibson Co. Health Dept. | Clinic/Center | 1250 S Manufacturers Row, Trenton, TN 38382-3632 | 2013-02-04 |
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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.