CALICO DEVELOPMENTAL SERVICES INC


Address: 3874 Viscount Ave Ste 7, Memphis, TN 38118-6000
Phone: 6159680447

CALICO DEVELOPMENTAL SERVICES INC (NPI# 1629611637) 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) 1629611637
Entity Type Organization
Organization Name CALICO DEVELOPMENTAL SERVICES INC
Practice Address 3874 Viscount Ave Ste 7
Memphis
TN 38118-6000
Practice Telephone 6159680447
Practice Fax Number 9014178113
Mailing Telephone 6159680447
Mailing Fax Number 9014178113
Enumeration Date 2019-10-22
Last Update Date 2019-10-22
Authorized Official Name STACEY BUCHANNON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4048191611
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 343900000X Non-emergency Medical Transport (VAN) Transportation Services
N 347C00000X Private Vehicle Transportation Services
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
Respite Care Facility
Y 251E00000X Home Health Agencies

Office Location

Street Address 3874 VISCOUNT AVE STE 7
City MEMPHIS
State TN
Zip Code 38118-6000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689295719 Dmc Memphis, LLC Clinic/Center 3000 Getwell Road, Memphis, TN 38118 2020-04-29
1053958736 Randy Johnson Technician 3221 Gina Drive, Memphis, TN 38118 2019-12-02
1215415823 Life Partners Home Care Agency, LLC In Home Supportive Care 2879 Knightway Road, Memphis, TN 38118 2018-08-06
1326589318 Latasha Rachell Martin Nurse Practitioner 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 2017-03-10
1770957375 Teresa Hughes Social Worker 3180 Winchester Road, Memphis, TN 38118 2015-11-19
1891170437 Bensons Express Pharmacy Health Maintenance Organization 3081 South Perkins Rd, Memphis, TN 38118 2015-07-24
1083044226 Kimberly Winters Griffin Nurse's Aide 4100 Tarry Park Apt1, Memphis, TN 38118 2013-11-26
1508017211 Amy Renee Rike Counselor 3960 Knight Arnold Rd. Suite 300, Delta Medical Center - Outpatient Psychiatric Services, Memphis, TN 38118 2008-10-01
1396996047 Carol Lynn Harriss Registered Nurse 2620thousand Oaks Blvd, Suite 2400, Memphis, TN 38118 2008-09-30
1295994671 Vcphcs I, LLC Clinic/Center 4539 Winchester Road, Suite 111, Memphis, TN 38118 2008-06-02
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649885674 Optimal Home Health & Living Home Health 1444 E Shelby Dr Ste 203, Memphis, TN 38116-7244 2020-09-15
1245844919 Larkspur Home Care Home Health 3824 Northcliffe Dr, Memphis, TN 38128-5496 2020-09-01
1437775053 Prestige In Home Health Care Home Health 3355 Poplar Ave Ste 305, Memphis, TN 38111-4677 2020-06-19
1689297442 Freedom 2 Go Biomed & Permitting, Inc Home Health 5308 Cottonwood Rd Ste 1a, Memphis, TN 38118-2609 2020-05-27
1942821533 Yolander Lasha King Home Health 5634 Heartwood Dr, Memphis, TN 38135-1012 2020-05-05
1538797162 Tiereney L Downey Home Health 3160 Lyndale Ave, Memphis, TN 38112-2109 2020-03-30
1356973994 A Loving Arms Care, LLC Home Health 3254 Winbrook Dr, Memphis, TN 38116-3644 2020-02-11
1518505775 Available Home Care Service Home Health 3133 Kirkcaldy Rd, Memphis, TN 38128 2019-12-18
1336785849 Charresa Noel Home Health 1026 Pearce St, Memphis, TN 38107-2029 2019-11-19
1831730977 Precious Angels Home Care Home Health 3765 Deer Forest Dr, Memphis, TN 38115-5219 2019-09-30
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Competitor

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City MEMPHIS
Zip Code 38118

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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