AMERICARE AT SOUTHBREEZE ASSISTED LIVING, LLC (NPI# 1225379811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225379811 |
Entity Type | Organization |
Organization Name | AMERICARE AT SOUTHBREEZE ASSISTED LIVING, LLC |
Other Organization Name | SOUTHBREEZE ASSISTED LIVING BY AMERICARE |
Practice Address |
3168 Hacks Road Cross Memphis TN 38125 |
Practice Telephone | 9017378815 |
Enumeration Date | 2013-03-07 |
Last Update Date | 2013-03-07 |
Authorized Official Name | JAMES REIKER (PRESIDENT) |
Authorized Official Telephone | 5734711113 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Southbreeze Assisted Living by Americare | Doing Business As Name - Organization |
Street Address |
3168 HACKS ROAD CROSS |
City | MEMPHIS |
State | TN |
Zip Code | 38125 |
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 |
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 |
1386950939 | Livitup, Inc | In Home Supportive Care | 3239 Players Club Parkway, Memphis, TN 38125 | 2010-08-20 |
Find all providers in zip 38125 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417564410 | Lily Healthcare Service | Assisted Living Facility | 4290 Ridgestone Dr Apt 5, Memphis, TN 38128-1837 | 2020-09-24 |
1124486154 | Loving Arms, Inc | Assisted Living Facility | 3310 Lockmeade Dr, Memphis, TN 38127-6762 | 2016-02-04 |
1316302367 | Legacy Il Operating Co, LLC | Assisted Living Facility | 6539 Knight Arnold Road, Memphis, TN 38115-0697 | 2015-12-17 |
1902284060 | Ridgemont Manor, Inc | Assisted Living Facility | 3805 Ridgemont Rd, Memphis, TN 38128-1948 | 2015-05-09 |
1073941993 | Audrey Dionne Dillon | Assisted Living Facility | 3679 Ford Rd, Memphis, TN 38109-3614 | 2013-10-31 |
1649544701 | Riverdale Assisted Living Facility | Assisted Living Facility | 6880 E Raines Rd, Memphis, TN 38115-5404 | 2012-03-06 |
1952548125 | Memphis Kg Property, LLC | Assisted Living Facility | 6480 Quince Rd, Memphis, TN 38119-8222 | 2009-01-09 |
1639325665 | Dishman House | Assisted Living Facility | 3958 Cornell St., Memphis, TN 38127 | 2008-08-11 |
1629224787 | Mahan House | Assisted Living Facility | 4005 N Watkins St, Memphis, TN 38127-4362 | 2008-08-08 |
1770784688 | Angelcity Corporation | Assisted Living Facility | 3385 Airways Blvd, Suite 119, Memphis, TN 38116-3841 | 2007-05-29 |
Find all providers in MEMPHIS |
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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.