KEM EDWARDS (NPI# 1336525989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336525989 |
| Entity Type | Individual |
| Full Name | KEM EDWARDS |
| Practice Address |
3030 Covington Pike Suite 241 Memphis TN 38128-5048 |
| Practice Telephone | 9014091785 |
| Mailing Telephone | 9014091785 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 253J00000X | Foster Care Agency | Agencies | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3030 COVINGTON PIKE SUITE 241 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-5048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356333561 | Rickey R Carson | Family Medicine | 3030 Covington Pike, Suite 200, Memphis, TN 38128-5049 | 2005-08-16 |
| 1699210369 | Beloved Medical, LLC | Obstetrics & Gynecology | 3030 Covington Pike, Suite 200, Memphis, TN 38128-5048 | 2017-01-04 |
| 1093163925 | Noelle Anne Prescott | Family Medicine | 3030 Covington Pike, Memphis, TN 38128-5048 | 2016-06-01 |
| 1326424979 | Helen C. Edwards | Specialist | 3030 Covington Pike, Suite 241, Memphis, TN 38128-5048 | 2015-08-05 |
| 1184001588 | Kem's House Inc. | Point of Service | 3030 Covington Pike, Suite 241, Memphis, TN 38128-5048 | 2015-05-05 |
| 1982973947 | Ticco Darrell Pruitt Sr. | Non-emergency Medical Transport (VAN) | 3030 Covington Pike, Suite 180, Memphis, TN 38128-5048 | 2011-12-21 |
| 1609169713 | The Camellia Foundation | Obstetrics & Gynecology | 3030 Covington Pike, Suite 200, Memphis, TN 38128-5048 | 2011-05-23 |
| 1437442035 | Joshua L. Fischer | Family Medicine | 3030 Covington Pike, Memphis, TN 38128-5048 | 2011-05-16 |
| 1144529819 | Tiffany Meador | Family Medicine | 3030 Covington Pike, Memphis, TN 38128-5048 | 2011-03-21 |
| 1891944708 | John Rocco Macmillan Rodney | Emergency Medicine | 3030 Covington Pike, Memphis, TN 38128-5048 | 2008-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| 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 |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 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 |
| 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.