MATTHEWS CANNON ENTERPRISE LLC (NPI# 1104295161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104295161 |
| Entity Type | Organization |
| Organization Name | MATTHEWS CANNON ENTERPRISE LLC |
| Other Organization Name | WE CARE FOR YOU HOME CARE AGENCY |
| Practice Address |
212 N Lauderdale St Memphis TN 38105-3618 |
| Practice Telephone | 9016261178 |
| Practice Fax Number | 9015449988 |
| Mailing Telephone | 9016261178 |
| Mailing Fax Number | 9015449988 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |
| Authorized Official Name | MRS. GWENDOLYN M CANNON (PRESIDENT) |
| Authorized Official Telephone | 9012628609 |
| Is Organization Subpart | Y |
| Parent Organization Name | MATTHEWS CANNON ENTERPRISE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| We Care For You Home Care Agency | Former Legal Business Name - Organization |
| Street Address |
212 N LAUDERDALE ST |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606706 | Trinette Jackson | In Home Supportive Care | 905 Woodlawn St, Memphis, TN 38107-2531 | 2020-10-13 |
| 1871103564 | Kv Quality Care | In Home Supportive Care | 109 Lynnfield St, Memphis, TN 38120-2305 | 2020-08-06 |
| 1801406749 | Home Care Management Nursing Agency LLC | In Home Supportive Care | 602 Harrell St, Memphis, TN 38112-2932 | 2020-08-05 |
| 1013526425 | Peeples Choice | In Home Supportive Care | 5263 Cherokee Rose Ln, Memphis, TN 38125-4119 | 2020-07-31 |
| 1427667641 | Alecia Alexander | In Home Supportive Care | 696 Inez St, Memphis, TN 38111-2223 | 2020-07-23 |
| 1548884281 | Peaceful Transitions In-home Care Services Inc | In Home Supportive Care | 4384 Stage Rd Ste 204, Memphis, TN 38128-5762 | 2020-05-28 |
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1811516826 | Comforts of Life Home Care Inc | In Home Supportive Care | 4523 Millbranch Rd, Memphis, TN 38116-7437 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1417583014 | The Connection Center | In Home Supportive Care | 1317 Jackson Ave, Memphis, TN 38107-4334 | 2020-03-16 |
| 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.