CUSTOMIZED MEDICAL NEEDS (NPI# 1679994198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679994198 |
| Entity Type | Organization |
| Organization Name | CUSTOMIZED MEDICAL NEEDS |
| Practice Address |
8295 Tournament Dr Ste 2 Memphis TN 38125-8906 |
| Mailing Address |
8295 Tournamemt Dr Ste 150 Memphis TN 38125-8900 |
| Practice Telephone | 8665637772 |
| Practice Fax Number | 9012550758 |
| Mailing Telephone | 8665637772 |
| Mailing Fax Number | 9012550758 |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |
| Authorized Official Name | CHRISTI ALEXANDER-DAVIDSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8665637772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 6151932 | TN | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124361688 | Customized Medical Needs | Counselor | 2129 West Street, Suite 224, Germantown, TN 38138-3837 | 2013-04-03 |
| 1801224829 | Customized Medical Needs | Case Management | 8295 Tournament Dr Ste 150, Memphis, TN 38125-8900 | 2013-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CUSTOMIZED MEDICAL NEEDS | 6084 Apple Tree Dr Ste 10, Memphis, TN 38115-0305 |
| Street Address |
8295 TOURNAMENT DR STE 2 |
| 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 |
| 1164803623 | Dandelion Diversified Care | Clinic/Center | 8295 Tournament Dr, Memphis, TN 38125-8906 | 2015-06-10 |
| 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 |
| 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 | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386008753 | Spirit of Service Counseling & Wellness Center, LLC | Point of Service | 3568 Kearney Ave, Memphis, TN 38111-5743 | 2016-04-11 |
| 1093932766 | Midtown Mental Center | Point of Service | 790 Bartlett Rd #28, Memphis, TN 38122 | 2007-04-20 |
| 1306399266 | Brittanys Esther House | Point of Service | 3261 Clearbrook St, Memphis, TN 38118-4404 | 2016-07-27 |
| 1164895793 | Nursing Solutions | Point of Service | 4311 Fiske Valley Dr, Memphis, TN 38135-9273 | 2015-11-04 |
| 1184001588 | Kem's House Inc. | Point of Service | 3030 Covington Pike, Suite 241, Memphis, TN 38128-5048 | 2015-05-05 |
| 1730481136 | Nft | Point of Service | 5350 Poplar Ave, Suite 430, Memphis, TN 38119-3699 | 2010-11-17 |
| 1710182696 | Carriage Court Memphis, LLC | Point of Service | 1645 W Massey Rd, Memphis, TN 38120-4219 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617671 | Master Remodelers LLC | Point of Service | 10820 Kingston Pike Ste 5, Knoxville, TN 37934-3065 | 2020-04-13 |
| 1477089910 | Laser Aesthetics Body and Wellness | Point of Service | 9755 Highway 64, Suite 101, Arlington, TN 38002-8579 | 2017-05-03 |
| 1518499771 | Tuesday and Company, Inc. | Point of Service | 502 N Garden St, Suite 104, Columbia, TN 38401-3238 | 2017-03-28 |
| 1134673437 | Dearing Physical Medicine | Point of Service | 201 Rosa Helm Way, Franklin, TN 37067-8408 | 2016-08-04 |
| 1093110546 | Blessed Homecare LLC | Point of Service | 219 Evergreen Cir, Hendersonville, TN 37075-2944 | 2014-10-27 |
| 1265854947 | Parker & Parker Dds Pa | Point of Service | 111 S Weisgarber Rd, Knoxville, TN 37919-4928 | 2014-01-14 |
| 1891131801 | Northcliff, Aclf | Point of Service | 14691 Highway 22 N, Lexington, TN 38351-4825 | 2013-05-16 |
| 1508106741 | Vick Partners LLC | Point of Service | 905 Hamlet Dr, Murfreesboro, TN 37128-5297 | 2013-02-25 |
| 1174884746 | Omni Home Health | Point of Service | 510 Hospital Dr Ste 101, Madison, TN 37115-5033 | 2012-05-31 |
| 1396032777 | Perfect Smiles Dental Center | Point of Service | 1210 Hazelwood Dr, Suite A, Smyrna, TN 37167-3964 | 2011-07-06 |
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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.