CANDICE CAMILLE GREEN (NPI# 1629637459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629637459 |
| Entity Type | Individual |
| Full Name | CANDICE CAMILLE GREEN |
| Credential | CLPN |
| Practice Address |
5100 Poplar Ave Fl 27 Memphis TN 38137-2701 |
| Practice Telephone | 6628150547 |
| Practice Fax Number | 9018783181 |
| Mailing Telephone | 6628150547 |
| Mailing Fax Number | 9018783181 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 170003387 | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BUSINESS LICENSE | 170003387 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679047393 | Candice Green | Behavior Technician | 514 S Hunt Club Blvd, Apopka, FL 32703-4948 | 2019-01-15 |
| Street Address |
5100 POPLAR AVE FL 27 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38137-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126571 | Noble Health Services LLC | Home Health | 5100 Poplar Ave Fl 27, Memphis, TN 38137-2701 | 2020-05-19 |
| 1871125146 | Seniorwell Pod of Tennessee LLC | Podiatrist | 5100 Poplar Ave Fl 27, Memphis, TN 38137-2701 | 2020-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468881 | Loving Arms Adult Day Care Staffing Agency, LLC | Home Health | 5100 Poplar Ave., 5100 Poplar Ave.suite 2732, Memphis, TN 38137 | 2018-05-23 |
| 1467746263 | Turning Point Home Health, Inc. | Home Health | 5100 Poplar Avenue, Suite 812, Memphis, TN 38137 | 2011-06-09 |
| 1902395239 | Shuntay Latrice Wesby | Nurse Practitioner | 5100 Poplar Ave Ste 2700, Memphis, TN 38137 | 2018-05-02 |
| 1285137380 | Kamika Sharee Wall | Registered Nurse | 5100 Poplar Ave Ste 2700, Memphis, TN 38137 | 2018-03-14 |
| 1184170268 | Molly Ledbetter | Registered Nurse | 5100 Poplar Ave Ste 2700, Memphis, TN 38137 | 2016-08-29 |
| 1710323696 | Patient Support Services, Inc. | Durable Medical Equipment & Medical Supplies | 5100 Poplar Ave, Suite 2883, Memphis, TN 38137 | 2013-05-17 |
| 1982225124 | Capitol City Family Services | Counselor | 5100 Poplar Ave Ste 202, Memphis, TN 38137-0202 | 2020-04-28 |
| 1427546415 | Christopher Nelson | Internal Medicine | 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 | 2018-04-25 |
| 1831262690 | Adrienne Michelle Jones | Physical Therapist | 5100 Poplar Ave Ste 525, Memphis, TN 38137-0525 | 2006-11-17 |
| 1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
| Find all providers in zip 38137 | ||||
| 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.