MR. RONALD PENN JR. (NPI# 1144798448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144798448 |
| Entity Type | Individual |
| Full Name | MR. RONALD PENN JR. |
| Practice Address |
4751 Harvest Park Dr. Memphis TN 38125 |
| Mailing Address |
4751 Harvest Park Dr Memphis TN 38125-4776 |
| Practice Telephone | 3235582902 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
4751 HARVEST PARK DR. |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1386950939 | Livitup, Inc | In Home Supportive Care | 3239 Players Club Parkway, Memphis, TN 38125 | 2010-08-20 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427280569 | Support Solutions of Tennessee | Day Training, Developmentally Disabled Services | 5909 Shelby Oaks Dr Ste 100, Memphis, TN 38134-7318 | 2009-08-21 |
| 1316172141 | Life Enhancement Services - Tennessee | Day Training, Developmentally Disabled Services | 1180 Minna Pl, Memphis, TN 38104-4607 | 2009-05-22 |
| 1093987307 | Special Kids and Families Inc. | Day Training, Developmentally Disabled Services | 4965 Willow Rd, Memphis, TN 38117-7115 | 2008-03-26 |
| 1871625749 | Brenda Richardson Memorial Acre Homes | Day Training, Developmentally Disabled Services | 5100 Stage Rd, Suite #2, Memphis, TN 38134-3161 | 2007-03-09 |
| 1811089824 | Functional Independence,inc. | Day Training, Developmentally Disabled Services | 2502 Mount Moriah Rd Ste A-148, Memphis, TN 38115-1510 | 2006-09-28 |
| 1790221166 | Assisted Living and Personal Care Services | Day Training, Developmentally Disabled Services | 5405 Fox Plaza Dr, Suite 101, Memphis, TN 38115-1518 | 2017-01-10 |
| 1255794624 | Daughters of Zion All Women's Bible College | Day Training, Developmentally Disabled Services | 4400 Hickory Hill Rd, Memphis, TN 38141-6818 | 2016-04-01 |
| 1043675481 | Comforting Angels Home Care Services | Day Training, Developmentally Disabled Services | 5395 Fox Plaza Dr Ste 108, Memphis, TN 38115-1580 | 2015-12-30 |
| 1801239959 | Pinnacle Health Services,llc | Day Training, Developmentally Disabled Services | 6025 Stage Rd, 42-372, Memphis, TN 38134-8374 | 2013-04-08 |
| 1295997955 | Wr Community Services LLC | Day Training, Developmentally Disabled Services | 2600 Poplar Ave, Suite 405, Memphis, TN 38112-3851 | 2008-06-25 |
| 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.