MNM ECOMMERCE GROUP, LLC (NPI# 1578902011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578902011 |
| Entity Type | Organization |
| Organization Name | MNM ECOMMERCE GROUP, LLC |
| Other Organization Name | C/O MEDICAL CRANIAL PROSTHESIS DIVISION |
| Practice Address |
5271 Mendenhall Park Pl Memphis TN 38115-5906 |
| Mailing Address |
111 S Highland St #179 Memphis TN 38111-4640 |
| Practice Telephone | 9017263966 |
| Practice Fax Number | 9017263966 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-07-12 |
| Authorized Official Name | MRS. ANN WILLIAMS (DIRECTOR) |
| Authorized Official Telephone | 9017263966 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| c/o Medical Cranial Prosthesis Division | Doing Business As Name - Organization |
| Street Address |
5271 MENDENHALL PARK PL |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38115-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
| 1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
| 1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
| Find all providers in zip 38115 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845148 | Hopeful Strands LLC | Prosthetic/Orthotic Supplier | 5852 Sunny Morning Dr, Memphis, TN 38141 | 2020-09-09 |
| 1558982868 | Kcb Medical Wigs | Prosthetic/Orthotic Supplier | 4246 Hillgate Cv, Memphis, TN 38118-6739 | 2020-04-28 |
| 1366901779 | Vascular and Vein Institute of The South, Pllc | Prosthetic/Orthotic Supplier | 6029 Walnut Grove Rd Ste 109, Memphis, TN 38120-2112 | 2019-03-15 |
| 1821545302 | Lynn's Got It Going On Beauty Salon | Prosthetic/Orthotic Supplier | 1119 Springdale St, Memphis, TN 38108-3044 | 2016-09-01 |
| 1033536180 | Center for Orthotics & Prosthetics Inc. | Prosthetic/Orthotic Supplier | 38 N Pauline St, Memphis, TN 38105-5104 | 2014-03-26 |
| 1063752293 | Human Technology, Inc. | Prosthetic/Orthotic Supplier | 266 S Cleveland St Ste 102, Memphis, TN 38104 | 2013-02-25 |
| 1225311996 | Pink Ribbons LLC | Prosthetic/Orthotic Supplier | 6295 Summer Ave Ste 105, Memphis, TN 38134-5983 | 2011-09-20 |
| 1447585492 | Access P&o Central Fab | Prosthetic/Orthotic Supplier | 1089 Eastmoreland Ave, Memphis, TN 38104-3334 | 2009-10-08 |
| 1477763332 | Advanced Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 6515 Poplar Ave, Ste #112, Memphis, TN 38119-4878 | 2007-05-22 |
| 1386788636 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 6740 Reese Road, Memphis, TN 38133-4978 | 2007-02-19 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on MNM ECOMMERCE GROUP, LLC.
| 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.