CALICO DEVELOPMENTAL SERVICES INC (NPI# 1629611637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629611637 |
Entity Type | Organization |
Organization Name | CALICO DEVELOPMENTAL SERVICES INC |
Practice Address |
3874 Viscount Ave Ste 7 Memphis TN 38118-6000 |
Practice Telephone | 6159680447 |
Practice Fax Number | 9014178113 |
Mailing Telephone | 6159680447 |
Mailing Fax Number | 9014178113 |
Enumeration Date | 2019-10-22 |
Last Update Date | 2019-10-22 |
Authorized Official Name | STACEY BUCHANNON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 4048191611 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
N | 347C00000X | Private Vehicle | Transportation Services | ||
N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
Y | 251E00000X | Home Health | Agencies |
Street Address |
3874 VISCOUNT AVE STE 7 |
City | MEMPHIS |
State | TN |
Zip Code | 38118-6000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689295719 | Dmc Memphis, LLC | Clinic/Center | 3000 Getwell Road, Memphis, TN 38118 | 2020-04-29 |
1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
1215415823 | Life Partners Home Care Agency, LLC | In Home Supportive Care | 2879 Knightway Road, Memphis, TN 38118 | 2018-08-06 |
1326589318 | Latasha Rachell Martin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 | 2017-03-10 |
1770957375 | Teresa Hughes | Social Worker | 3180 Winchester Road, Memphis, TN 38118 | 2015-11-19 |
1891170437 | Bensons Express Pharmacy | Health Maintenance Organization | 3081 South Perkins Rd, Memphis, TN 38118 | 2015-07-24 |
1083044226 | Kimberly Winters Griffin | Nurse's Aide | 4100 Tarry Park Apt1, Memphis, TN 38118 | 2013-11-26 |
1508017211 | Amy Renee Rike | Counselor | 3960 Knight Arnold Rd. Suite 300, Delta Medical Center - Outpatient Psychiatric Services, Memphis, TN 38118 | 2008-10-01 |
1396996047 | Carol Lynn Harriss | Registered Nurse | 2620thousand Oaks Blvd, Suite 2400, Memphis, TN 38118 | 2008-09-30 |
1295994671 | Vcphcs I, LLC | Clinic/Center | 4539 Winchester Road, Suite 111, Memphis, TN 38118 | 2008-06-02 |
Find all providers in zip 38118 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649885674 | Optimal Home Health & Living | Home Health | 1444 E Shelby Dr Ste 203, Memphis, TN 38116-7244 | 2020-09-15 |
1245844919 | Larkspur Home Care | Home Health | 3824 Northcliffe Dr, Memphis, TN 38128-5496 | 2020-09-01 |
1437775053 | Prestige In Home Health Care | Home Health | 3355 Poplar Ave Ste 305, Memphis, TN 38111-4677 | 2020-06-19 |
1689297442 | Freedom 2 Go Biomed & Permitting, Inc | Home Health | 5308 Cottonwood Rd Ste 1a, Memphis, TN 38118-2609 | 2020-05-27 |
1942821533 | Yolander Lasha King | Home Health | 5634 Heartwood Dr, Memphis, TN 38135-1012 | 2020-05-05 |
1538797162 | Tiereney L Downey | Home Health | 3160 Lyndale Ave, Memphis, TN 38112-2109 | 2020-03-30 |
1356973994 | A Loving Arms Care, LLC | Home Health | 3254 Winbrook Dr, Memphis, TN 38116-3644 | 2020-02-11 |
1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
1336785849 | Charresa Noel | Home Health | 1026 Pearce St, Memphis, TN 38107-2029 | 2019-11-19 |
1831730977 | Precious Angels Home Care | Home Health | 3765 Deer Forest Dr, Memphis, TN 38115-5219 | 2019-09-30 |
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.