KIARAD ENTERPRISES SERVICES LLC


Address: 3994 Edenburg Dr, Memphis, TN 38127-4112
Phone: 9017300368

KIARAD ENTERPRISES SERVICES LLC (NPI# 1285294306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285294306
Entity Type Organization
Organization Name KIARAD ENTERPRISES SERVICES LLC
Practice Address 3994 Edenburg Dr
Memphis
TN 38127-4112
Mailing Address 3554 Carney St
Memphis
TN 38127-5032
Practice Telephone 9017300368
Practice Fax Number 9015318398
Mailing Telephone 9017300368
Mailing Fax Number 9015318398
Enumeration Date 2019-06-20
Last Update Date 2019-07-09
Authorized Official Name BRIAN O JOHNSON (PRESIDENT/OWNER)
Authorized Official Telephone 9017300368
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
8434 Woodmannor Cove, Cordova, TN 38016 9017300368 9015318398

Office Location

Street Address 3994 EDENBURG DR
City MEMPHIS
State TN
Zip Code 38127-4112

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639660103 Jennifer Green Occupational Therapist 4209 Mtn.terrace, Memphis, TN 38127 2018-05-21
1891060570 Phylantyniese Lashunda Stone Non-emergency Medical Transport (VAN) 2790 N. Watkins, Memphis, TN 38127 2012-03-14
1982916326 Linda Faye Johnson Pharmacist 2655 Frayser Blvd., Memphis, TN 38127 2010-07-13
1215171046 M.g. Services, LLC Home Health 3065 Thomas St., Memphis, TN 38127 2009-04-23
1639325665 Dishman House Assisted Living Facility 3958 Cornell St., Memphis, TN 38127 2008-08-11
1467621334 Cet of Memphis, LLC Community/Behavioral Health 2470 Capewood Dr, Memphis, TN 38127 2008-02-26
1912074030 Medic Transportation, LLC. Ambulance 3180 Millington Rd., Memphis, TN 38127 2006-11-30
1609974450 Walgreen Co. Pharmacy 3100 Thomas St., Memphis, TN 38127 2006-09-20
1871541177 Clarice Weathers Mullinax Family Medicine 3124 North Thomas Street, Christ Community Health Services Inc, Memphis, TN 38127 2006-05-05
1295251619 Walgreen Co Durable Medical Equipment & Medical Supplies 2670 Frayser Blvd, Memphis, TN 38127 2017-08-17
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821613571 Jasmine E Jackson Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3165 Overton Crossing St, Memphis, TN 38127-6522 2020-06-09
1982130878 Bt&t Residential Healthcare Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6126 Gray Oak Ave, Memphis, TN 38115-2710 2017-05-11
1528577962 Contemporary Community Solutions Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1661 International Place Dr Ste 400, Memphis, TN 38120-1431 2017-09-28
1316317407 Rha Health Services Tn, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5050 Poplar Ave, Suite 710, Memphis, TN 38157-0101 2015-10-01
1598042962 Freedom Co-op Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1633 Madison Ave, Memphis, TN 38104-2506 2011-11-13
1154519981 Resources for Human Development Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3634 Austin Peay Hwy, Suite 100, Memphis, TN 38128-3798 2007-10-05
1063530442 Evergreen Presbyterian Ministries of West Tn Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5154 Stage Rd, Suite 100, Memphis, TN 38134-3118 2007-03-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194332148 Talley Boarding Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2741 Smith Springs Rd, Nashville, TN 37217 2020-09-24
1780208116 Indya Daniels Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 262 Carriage House Dr, Jackson, TN 38305-2228 2020-06-01
1841830387 Charis Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8820 Trinity Rd Ste 101, Cordova, TN 38018-2735 2020-01-13
1447891171 Hamelmal S Admassie Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 880 Pin Oak Dr, Antioch, TN 37013-1532 2019-10-03
1467910992 Milestone Home Healthcare Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1037 Jefferson St Ste G, Nashville, TN 37208-2554 2019-03-04
1255897831 Salim Homes Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2714 Deerfield Dr, Nashville, TN 37208-1225 2019-02-19
1407324411 Abundant Care Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2805 Foster Ave Ste 206, Nashville, TN 37210-5341 2018-11-07
1558837104 Vicki Mckissick Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2131 Murfreesboro Pike Ste 210, Nashville, TN 37217-6306 2018-10-22
1699260273 Quality Support Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2201 Murfreesboro Pike Ste D202, Nashville, TN 37217-3556 2018-06-26
1962910414 Rochelle Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1020 Southside Ct, Nashville, TN 37203-4762 2018-01-18
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Competitor

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City MEMPHIS
Zip Code 38127

Improve Information

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Dataset Information

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.

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