METHODIST EXTENDED CARE HOSPITAL (NPI# 1538240536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538240536 |
| Entity Type | Organization |
| Organization Name | METHODIST EXTENDED CARE HOSPITAL |
| Other Organization Name | METHODIST EXTENDED CARE HOSPITAL |
| Practice Address |
225 South Claybrook Memphis TN 38104 |
| Practice Telephone | 9015162152 |
| Practice Fax Number | 9015162022 |
| Mailing Telephone | 9015162152 |
| Mailing Fax Number | 9015162022 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-02-03 |
| Authorized Official Name | MS. SANDRA BAILEY (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 9015162215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 0000000146 | TN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00220567 | 05 | |
| TN | BLUE CROSS | 3099538 | 01 |
| AR | 152473105 | 05 | |
| TN | BLUE CROSS-FEDERAL | 3155193 | 01 |
| TN | 0440212 | 05 | |
| MO | 14779409 | 05 |
| Other Name | Type Code |
|---|---|
| Methodist Extended Care Hospital | Other Name - Individual/Organization |
| Street Address |
225 SOUTH CLAYBROOK |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891917571 | Memphis Long Term Care Specialty Hospital, LLC | Long Term Care Hospital | 3391 Old Getwell Road, Memphis, TN 38118 | 2007-05-03 |
| 1780684423 | Select Specialty Hospital - Memphis Inc | Long Term Care Hospital | 1265 Union Avenue, 2nd, 4th, and 5th Floors, Memphis, TN 38104 | 2005-07-22 |
| 1790197945 | Regional Med Extended Care Hospital, LLC | Long Term Care Hospital | 890 Madison Ave, 4th Floor, Memphis, TN 38103-3409 | 2014-05-22 |
| 1801805502 | Baptist Memorial Regional Rehabilitation Services Inc | Long Term Care Hospital | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427127463 | Kindred Hospitals Limited Partnership | Long Term Care Hospital | 709 Walnut St, Chattanooga, TN 37402-1916 | 2006-11-06 |
| 1215937982 | Select Specialty Hospital Nashville Inc | Long Term Care Hospital | 2000 Hayes Street, Suite 500, Nashville, TN 37236-0001 | 2005-07-26 |
| 1942200522 | Select Specialty Hospital - North Knoxville Inc | Long Term Care Hospital | 7557b Dannaher Dr, Ste 145, Powell, TN 37849-3568 | 2005-07-26 |
| 1902806722 | Select Specialty Hospital - Knoxville Inc | Long Term Care Hospital | 1901 W Clinch Ave, 4th Fl N, Knoxville, TN 37916-2307 | 2005-07-22 |
| 1679924005 | Curahealth Nashville, LLC | Long Term Care Hospital | 1412 County Hospital Rd, Nashville, TN 37218-3007 | 2016-06-27 |
| 1588664999 | Select Specialty Hospital - Tricities Inc | Long Term Care Hospital | 1 Medical Park Blvd, 5th Floor West, Bristol, TN 37620-7430 | 2005-07-28 |
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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.