LACY AND BRADFORD CARE FACILITY (NPI# 1659693471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659693471 |
| Entity Type | Organization |
| Organization Name | LACY AND BRADFORD CARE FACILITY |
| Practice Address |
3533 Kendrick Rd Memphis TN 38108-2026 |
| Practice Telephone | 9013723327 |
| Practice Fax Number | 9013723327 |
| Mailing Telephone | 9013723327 |
| Mailing Fax Number | 9013723327 |
| Enumeration Date | 2010-02-20 |
| Last Update Date | 2010-02-20 |
| Authorized Official Name | LILLIE B. LACY (PARTNERSHIP) |
| Authorized Official Telephone | 9013723327 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | L000000005891 | TN | Managed Care Organizations |
| Street Address |
3533 KENDRICK RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38108-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285946301 | Lacy Care Facility | Custodial Care Facility | 3533 Kendrick Rd, Memphis, TN 38108-2026 | 2010-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295208429 | Danny Winston B Robillo | Physical Therapist | 1143 Cully Road, Cordova, TN 38108 | 2019-01-10 |
| 1114235363 | Nikita Nicole Bratcher-johnson | Occupational Therapist | 1755 Eldridge Ave, Memphis, TN 38108-1115 | 2010-09-22 |
| 1770608457 | St. Clare Health and Rehab, LLC. | Intermediate Care Facility, Mental Illness | 1755 Eldridge Ave., Memphis, TN 38108-1115 | 2007-03-20 |
| 1093255101 | Ave Maria Home Dba St. Clare Health and Rehab, LLC | Skilled Nursing Facility | 1755 Eldridge Ave, Memphis, TN 38108-1115 | 2017-03-08 |
| 1033643549 | One and Only Resources Inc | Home Health | 1463 Britton St, Memphis, TN 38108-1304 | 2017-04-12 |
| 1154812790 | Brittany Sneed | Adult Companion | 2030 Nedra Ave, Memphis, TN 38108-1347 | 2018-05-18 |
| 1184117731 | Supportive Homecare, LLC | Adult Companion | 2030 Nedra Ave, Memphis, TN 38108-1347 | 2018-06-08 |
| 1700872975 | Gloria J Pryor | Dentist | 2410 Chelsea Ave, Memphis, TN 38108-1515 | 2005-09-23 |
| 1326404963 | Nicholas Cornell Brooks | Dentist | 2410 Chelsea Ave, Memphis, TN 38108-1515 | 2016-01-12 |
| 1538331533 | G J Pryor | Clinic/Center | 2410 Chelsea Ave, Memphis, TN 38108-1515 | 2008-03-31 |
| Find all providers in zip 38108 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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|---|---|---|---|---|
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| 1457562266 | Pearle Vision Center | Preferred Provider Organization | 6115 Hickory Ridge Mall, Memphis, TN 38115-8806 | 2007-05-24 |
| 1952442063 | Rippee Rehab Inc | Preferred Provider Organization | 5134 Stage Rd, Suite 100, Memphis, TN 38134-3153 | 2007-02-09 |
| 1992230411 | All In One's Hands | Preferred Provider Organization | 2735 S Mendenhall Rd, Suite 8, Memphis, TN 38115-1556 | 2017-04-21 |
| 1396105490 | Kyndal Home Health Care Inc | Preferred Provider Organization | 2264 S Lauderdale St, Memphis, TN 38106-7566 | 2016-03-02 |
| 1801102967 | Good Health Organization Inc | Preferred Provider Organization | 2829 Lamar Ave, Memphis, TN 38114-5016 | 2010-08-27 |
| 1871783274 | Mobile Diagnostic Eyecare | Preferred Provider Organization | 2750 Mount Moriah Pkwy, Memphis, TN 38115-2063 | 2007-07-31 |
| 1427195668 | The Sanders Clinic | Preferred Provider Organization | 6027 Walnut Grove Rd, Suite 401, Memphis, TN 38120-2145 | 2007-01-30 |
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|---|---|---|---|---|
| 1609327246 | Ld&h Specialized Care Services | Preferred Provider Organization | 2260 Us-51, Helen R Tucker Adult Dev Center, Ripley, TN 38063 | 2016-10-19 |
| 1063876076 | Petre-jo LLC | Preferred Provider Organization | 607 W Due West Ave Ste 95, Madison, TN 37115-4415 | 2016-04-06 |
| 1417312562 | Germantown Dental | Preferred Provider Organization | 1324 4th Ave N, Nashville, TN 37208-2716 | 2015-12-16 |
| 1083081202 | United Therapy Network LLC | Preferred Provider Organization | 410 New Salem Hwy Ste 103, Murfreesboro, TN 37129-3361 | 2015-08-24 |
| 1497158885 | Rebeccah Fore | Preferred Provider Organization | 331 Plus Park Blvd. #150, Nashville, TN 37217 | 2014-09-30 |
| 1235540576 | Absolute Ps, Inc. | Preferred Provider Organization | 404 Karstridge Rd, Smyrna, TN 37167-5132 | 2014-05-08 |
| 1730505173 | Reyland Health & Wellness Solutions | Preferred Provider Organization | 1138 Zirkle Rd, Dandridge, TN 37725-4234 | 2014-03-10 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| 1396025854 | Blessed Assurance LLC. | Preferred Provider Organization | 113 Hatcher Creek Ln, Walland, TN 37886-2608 | 2011-08-27 |
| 1407149552 | Sleep Diagnostic Center | Preferred Provider Organization | 382 Atoka Mclaughlin Dr Ste C, Atoka, TN 38004-4923 | 2011-05-24 |
| Find all providers with the same taxonomy | ||||
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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.